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• ' CHEC3E� OFF i�IST FOR ISSUANCE O�F PE�'VIITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Zg7�. �J�=C2 ��v � �'��'— <br /> PID: <br /> DEsc�o� oF woxx: ��,�� ���►�2 <br /> ZONNG REVLE`V BY: N I � DAT'E APPP.OVED: <br /> SUILDING RE��V EY: DATE A.PPROVED: 8•2�-�� <br /> F`EES TO BE CH�2GED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V � Yes /�o �� SE�VER CO�INECTION <br /> STATE SURCHARGE Yes �/ I�o `VA'I'ERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (sgecify) <br /> ZON.i�i IG CH�CK LTST Zoning District: �/\S 0 G(-���k , <br /> U <br /> Fire Departmen[: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submicted: Yes No Da[e of Survey: <br /> Proposed Setbacks: <br /> Fronc(Lake): Ri�t Side: <br /> Rear (Street): Left Side• <br /> Adjaceat Struc[ures: Wetland: <br /> Buil�lin� Hei�ht: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approval Date: y: Council Approval Date: ' <br /> Septic: 5taff Approval Date: �� <br /> Zoain� File: # Resolution: # Resolution Date: <br /> Shoreland Distric[: <br /> Av;. Setback: Bluff Setb ck: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-25Q' <br /> 2�0-500' <br /> 5Q0-lOCO' <br /> �Iardcover Va:iacce Required: Yes No Dace of Council Approvz: <br /> REZL4RhS (in house): <br />