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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1�`c�► Fi4Ge�'Lti-ess Pe�N'� �/+O <br /> PID: <br /> DESCRIl''I'ION OF WORK: (��� ,,.�ro�n.��, '�/�� 2 <br /> —____ ---__------------------------- • <br /> ZO.YI�i 1G REVIEW BY: /U �/� DATE APPROVED• <br /> BUILD�IG REV�W BY: DATE APPROVED; s-Z5-0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�1i1IT Yes f No <br /> PLAN REVIE`'V Yes No � SEWFIZ CONNEC7TON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI3�CK LIST Zoning District: N a cc��� . <br /> Fire Department: Post Office: School District: � <br /> L,ot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: �Vetl d: <br /> Building Heigh[: Def. Hgt. Pe Hgt. <br /> L.ot Coverage: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setbac� L.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 Approval: <br /> RENIARKS (in house): <br /> 7 <br />