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CHECK OFF LIST FOR ISSUA��tCE OF PERiv1ITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: `-{�� ��,(3 c�t241 t �2 — <br /> PID: <br /> DESCRIPTION OF WORK: �.,�c�S <br /> ZO�'G REV�W BY: DATE APPROVED: 4� ��- GJ <br /> BUILDIYG REVIEW BY: DATE APPROVED: � -i� � �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _?� No ;� <br /> pLAN REVIEW Yes +/ No SEWER CONNECI'ION <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 /> ZONLtiG CH�CK LIST Zoning Disuicr. (�(Z.- l � <br /> Fire Department: Wl�ot,� �(I�in� Post Office: rv�,r4p,,t: ,p(q,nJ School District: p2c�N� <br /> Lot Area: Sq.ft. /U O G 1�n, ' Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: o o-f .�!L.� �(�2 2 -�$g <br /> Proposed Setbacks: <br /> Front (Lake): �(9a � 'F' Right Side: �� �' <br /> Rear (Street): ,�bD� � Left Side: ( I� <br /> Adjacent Structures: (����. Wetland: <br /> Building Height: Def. Hgt. -- Pea�:Hgt. — <br /> Lot Covera'e: N�A <br /> Grading: Staff Approval Date: N//� By: - Council Approval Date: — <br /> Septic: Staff Approval Date: /�f �/'�- By: - <br /> Zoning File: # — Resolution: # — Resolution Date: ^ <br /> Shoreland District: /V O <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Varianc� Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />