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[ . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t G zc� 1=r��t=2NC-5 S Pc��N� 1Zo� <br /> PID: <br /> DESCRIPTION OF WORK: ,q r�7z -rt-�-� F=ft c r ✓J�Uc <br /> ZO�tPi i G REVIEW BY: DATE APPROVED: /z-� -0 3 <br /> BUII�DING REV�`V BY: DATE APPROVED; r Z- r• 03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERI�IIT Yes �/ No <br /> PLA��t REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes ✓/ No WATERCONNECTTON <br /> ,�INVESTIGATION FEE�3�isYes ✓ No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONII�IG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes o�- No Date of Survey: ON i=<<.�, <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: zrrc� ��- ���� �S <br /> �U� ��� ��'71tsL J.���� <br /> Adjacent Structures: �Vetland: 5 <br /> �/�J �-T—1�c �S' i4�r�D S-Q �I'1{l�.S <br /> Building Hei;h[: Def. Hgt. Pealc Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: u�� <br /> Avg. Setbac��— Bluff Setback: L.ot Coverage: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: ' <br /> RENIARKS (in house): � �-F�'t � �c� /��'�f� .�1�"n'�'�^ � T <br /> � S S/6nrcaP ,? <br /> a <br /> 7 <br />