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� � CHECK OFF LIST FOR ISSUAI�TCE OF PERI�IITS <br /> _ FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �,� 3 Fr�c�i_2rUES S Po��vT 1Z-op.r� <br /> PID: <br /> DESCRIPTION OF WORK: (Z-�=vVvpip�=Z <br /> ZOti�G RE'V�`V BY: DATE APPROVED: g z�-� <br /> BUILDTi�tG REVIE`V BY: DATE APPROVID: �i' - Z� -� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r� No :� <br /> PLAN REVIEW Yes v' No SEWER CO�TNECITON <br /> STATE SURCHARGE Yes �-- No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI:�tG CH�CK LIST Zoning District: ,�o Gff�-n/'� _ <br /> Fire Deparcment: Post Office: School District: <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survev Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Righ[Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: We land: . <br /> Buildin, Heigh[: Def. H�t. Pe �Hgt. <br /> Lot Covera�e: <br /> Gradin;: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zonin,File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback I.ot Covera�e: <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> REI�iARKS (in house): <br /> 7 <br />