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- • � CHECK OFF LIST FOR ISSUANCE OF PER1ti1ITS <br /> � • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 3 S C,u.�-r v�C,w �4.r�e <br /> PID: <br /> DESCRIP'I'ION OF WORK: ��,e,�c <br /> — __-----_-----------------------------/--_ _ <br /> ZOrT\i'G REVIE`V BY: d� C'� DATE APPROVED• G 3-ov <br /> BUII�D�tG REV�`V BY: ��� DATE APPROVED: b -�3--va <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONIVECITON <br /> STATE SURCHARGE Yes �� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONLVG CH�CK LIST Zoning Districr. �2-�� <br /> Fire Department: (N�v C�f-�wf Post Office: (�o.-�S (it�� School Disuict: O��a <br /> —�-- <br /> Lot Area: Sq.fr. I�,Q�Z S Acres �2 t3°7o Width /c�o Depth �'��•"� 5 <br /> Survey Submitted: Yes oL No Date of Survey: �-'2'�—�� <br /> Proposed Setbacks: <br /> Fron[ (Lake): �-(� �y Right Side: 2� <br /> Rear (Street): 5"] � � Left Side: � � <br /> Adjacent Structures: Wetland: /� �� . <br /> Building Height: Def. Hgt. (�J ((1' Peal:Hgt. � <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septir. Staff Approval Dace: By: <br /> �( Zoning File: # Resolution: # Resolution Date: <br /> �� Shoreland District: /`� <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�iARKS (in house): <br /> 7 <br />