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. . �. <br /> � ' � CHECK OFF LIST FOR ISSUAI�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �5,-U L71�; [�,•�t.� �;.4-r�:" <br /> PID: <br /> DESCRIPTION OF WORK: �-�+��.� �+-I �' u� <br /> ---------------------- <br /> ZONING REVIEW BY: � M.--�._ DATE APPROVID: S- }�-`i�- <br /> BUII�DING REVIEW BY: N i tt DATE APPROVED: <br /> FEES TO BE CHARGED: ,� Mi�c. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No f SEWER CONNECTION <br /> STATE SURCHARGE Yes No �" WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No `� SITE INSPECITON <br /> Number of SAC Units OTHER (specify)_ <br /> ZONING CHECK LIST Zoning District: Shoreland District : <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: �"e ��d�61��_ <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hjt. <br /> Avg. Se[back: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> ?�-2s0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Sepdc: Staff Approval Date: BY� <br /> Zoning File: f# Resolution: # Resolution Date: <br /> P�:��][ARKS (in house): � ����v�-c, /_�:,e�-r ��'�=-� ,l'� s c_����:c< f'�� `� �3� �' _, <br />