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. • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l C�u �2`I Sr AL. crc�« 1Zo.�J <br /> PID: <br /> DESCRIPTION OF WORK: ��a� Po�,t� -E- I�jec.,(� <br /> - --w�� _ . ---- ----------------------------------------------�------/----- <br /> ZOti�1G REVIEW BY• � DATE APPROVED• V- /-a z <br /> BUII,DING REV�W BY: DATE APPROVED: �-r � -v Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �� No <br /> PLAi�1 REVIEW Yes � No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOI�rIi�1G CIi�CK 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: � � •"Z-`z -`i.5 <br /> Proposed Setbacks: <br /> Front (Lake): t'-t(� � + Right Side: �C�� '''-- <br /> �+ � -l- <br /> Rear (Street): �y� Left Side: �� - <br /> Adjacent Structures: �-r-r-►gc�l�-►-�.'� Wetland: nJ jA <br /> Building Hei�ht: Def. Hgt. d � l,�- Peak Hgt. — <br /> Lot Coverage: N � � <br /> Grading: Staff Approval Date: — By: — Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /11'C� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 7 <br />