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. � <br /> � CHECK OFF LIST FOR ISSUAIVCE OF PERiv1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: ��l (� (�11C_KC`� LJ-��c� �piZ�V � <br /> PID: <br /> DESCRIPT'ION OF WORK: �4 p(J i ���� <br /> ZONING REVIEW BY: DATE APPROVED: ��-3�-03 <br /> BUII.DING REVIEW BY: DATE APPROVED: r o - �r- o � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> pLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ./ No WATER CONiVECIION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti�Il�1G CHECK LIST Zoning Districr. <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: �- �5� ��� ���� <br /> Proposed Setbacks: � <br /> Front (Lake): (67 �= Right Side: 35 � r <br /> Rear (Street): Z34 ` � Left Side: I ��, � <br /> Adjacent Structures: /�'�7?lGYf�-� Wetland: N �/� <br /> Building Hei�ht: Def. Hgt. /U� C�-/�y,( Peal:Hgt. � <br /> Lot Covera�e: O�k <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # '-' Resolution: # Resolution Date: <br /> Shoreland District: /vv <br /> Av�. Setback: Bluff Setback: I.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 Appro�•al: <br /> REMARKS (in house): <br /> 7 <br />