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i <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERl�1ITS <br /> . FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: j `�� � un �� ��v_��. �.. <br /> PID: <br /> DESCRIPT'ION OF WORK: �s �.��,�: o - <br /> ZOr'Pi TG RE'VIE`V BY: DATE APPROVED: G � �c� -�i/ <br /> BUILDI�i tG REVIEW BY: DATE APPROVED: � •�b •� y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �' No SEWER CONNECITON <br /> STATE SURCHARGE Yes r% No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOIVIVG CH�CK LIST Zoning District: <br /> Fire Depar[ment: �'� Post Office: .���> J�� School District: Z. � �� C��/vt�_ <br /> Lo[Area: Sq.ftJU Acres T Width �Q�h./ �- Depth ' e� �� <br /> Survey Submitted: Yes_� No Date of Survey: pn.l �'((,�.3` <br /> Proposed Setbacks: � � <br /> Front (Lake): Right Side: <br /> / � -1 <br /> Rear(Street): �J Left Side: -- <br /> a�'' � � <br /> Adjacent Structures: � Wetland: <br /> Building Height: Def. Hgt. � Peak Hgt. /V � <br /> Lot Coverage: /�1 ( (' <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: Lot 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 /> RENIA.RKS (in house): <br /> 7 <br />