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. <br /> CHECK OFF LIST FOR ISSU��tCE OF PER.iVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3oS� 1-=�h��Zv�Lc�J Cj4N(� <br /> PID: <br /> DESCRIPTION OF`VORK: C_z..c:c1�a�-c9/t d- Cw-�-�' <br /> ------------ -------- ----�-�.--�------------------------------------------------�-------�- -------- <br /> ZO�tING REVIE`V BY: ��— DATE APPROVED• 7 r-z-- �t <br /> BUILDIl�;G REV�`V BY: ( DATE APPROVED: 7-�L-�, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v� No <br /> pL?,TI REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECI'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�Tvi G CHECK LIST Zoning District: N� G�I,q,,,rc�,Q <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 /> F:ont (Lake): Ri;ht S de: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building HeiQht: Def. H�t. Peak Hgt. <br /> Lot Covera;e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin; File: t� Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Set ack: Lot�overage: <br /> Ezisiing PrOposed <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes i'o Date of Council Approval: <br /> REVIARKS (in house): ' <br /> 7 <br />