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, CHECK OFF LIST FOR ISSUA��TCE OF P�RMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y2 v ,0�l3a�zAH <br /> PID: <br /> DESCRIPTION OF WORK: ���Ic <br /> ------------------------ ----------------------------------------------------------------------- <br /> ZOV�G REV�W BY: � DATE APPROVED: _��-r 3 - �5' <br /> BUII�DI�'G REVLE`V BY: DATE APPROVED: i�-��3—o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZO\�G CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depch <br /> Survey Submitted: Yes � No Date of Survey: pnr t=1 C.�, <br /> Proposed Setbacks: <br /> Front (Lake): I 35� Right Side: 31S � + <br /> Rear (Street): Z3o� Left Side: Lo�' � <br /> Adjacent Structures: �--r7�4UfityJ Wetland: �v)� <br /> �tuildin� rieig:nt: Def. Hgz. �/i4 reai:iiot. "' <br /> Lot Coverage: n/�•'a- <br /> Grading: 5taff Approval Da[e: n/��j By: Council Approval Date: <br /> Septic: S[aff Approval Date: — By: <br /> Zon.ing File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V p <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Existin� Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> R�NiARKS (in house): <br /> � <br />