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# <br /> • I �• • <br /> CHECK OFF LIST FOR ISSU��ICE OF PER�IITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 3� CiZy Sn4�- G2�.�1� �LO.� <br /> PID: <br /> DESCRIPTION OF WORK: �p,u f�0 <br /> ----------------------------------- ------- ------------------------------ -----------------�------- <br /> Z0�1ING REVIEW BY: � DATE APPROVED: �-C, ' r <br /> BUII,DING REVIEW BY: DATE APPROVED: 8 -e -d� <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERI�IIT Yes �/' No <br /> pLAi�1 REVIEW Yes �/ No SEWER COtiNECTTON <br /> STATE SURCHARGE Yes ✓ No WATER COti�CTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO��ING CHECK LIST Zoning Districr. <br /> N� Fire Department: Post O�ce: School District: <br /> G Lot Area: Sq.ft. Acres Widrh Depth <br /> Survey Submitted: Yes�_ No Date of Survey: S- �l- 98' �� t=/f.e) <br /> Proposed Setbacks: �. <br /> Fronc (Lake): I 3� Ri;ht Side: ,S�` l�f <br /> Rear (Street): Z�O Left Side: �c10 ,$ <br /> Adjacent Structures: A � � GFf-t-� Wecland: N //� <br /> Buildin� Height: Def. Hgt. �. (L Peak Hgt. (,,/� <br /> Lot Covera�e: /✓�� <br /> Gradin�: Staff Approval Date: � By: Council Appro�-al Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /uC� <br /> Av�. Setback: Bluff Setback: L,ot Co�-erage: <br /> Existing Progosed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of CouLcil Approval: <br /> RENIARKS (in house): <br /> 7 <br />