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� <br /> ' ` CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I vc�3 C�x �=A�'� �� � <br /> PID: <br /> DESCRIPTION OF WORK: q D�p i r�o�► <br /> ZO�iING REVIE`V BY: DATE APPROVED: /�- �g -� <br /> BUII.DING REVIEW BY: DATE APPROVED: 1� � � -� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PEKMIT Yes ✓ No <br /> pLAI�1 REVIEW Yes ✓- No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No �G PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO��ING CHECK LIST zoning Disuicc: <br /> N� <br /> �� Fire Departmen[: Post Office: School District: <br /> Lot Area: Sq.f[. Acres Width Depth <br /> Survey Submitted: Yes_ c� No Date of Survey: �'Z`'�'�'`� <br /> Proposed Setbacks: � � <br /> Front (Lake): I ls -� Right Side: (�O �= <br /> Rear (Street): Z 5� � t Left Side: L 6 0 � t <br /> Adjacent Structures: A�%����r—� Wetland: N��- <br /> Buildin� Hei�ht: Def. Hgt. D•�C Peal:Hgt. <br /> Lot Covera�e: N�� <br /> Grading: Staff Approval Date: '— By: — Council Approval Date: <br /> Septic: Staff Approval Da[e: �' By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �v <br /> Av�. Setback: Bluff Se[back: L.ot Coverage: <br /> Ezisiing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> gE�iARKS (in house): <br /> 7 <br />