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/� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Z��� C�L1pe2v��w �2 <br /> PID: <br /> DESCRIPTION OF WORK: �'/�6c� ,/�D o �-�o� <br /> ZO�TIl�'G REVIEW BY: DATE APPROVED: g -e -0 3 <br /> BUILDING REV�W BY: DATE APPROVED: � -b- �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/� No <br /> pLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZOti-I'i�tG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: 8 �5 - Q(o <br /> Proposed Setbacks: <br /> Front (Lake): �iS � s Ri�ht Side: I no' � <br /> Rear (Street): 3?.� Left Side: S S� � <br /> Adjacen[ Structures: �n-y�c.t-ro'� Wetland: — <br /> Building HeiQhr. Def. Hgt. — Peal:Hgt. � <br /> Lot Covera�e: � <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: . <br /> Shoreland District: Nd <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> ExistinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REv1ARKS (in house): <br /> 7 <br />