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� - � <br /> CHECK OFF LIST FOR ISSUANCE OF PER�VIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �v 3 ���,,n�� (�..�,,� �1 � <br /> PID: - - - - - <br /> DESCRIP'ITON OF WORK: ��.� n;:Z <br /> ---------------------__---__�- ----_--____ <br /> ZO�.�I�1i G REVIEW BY: � DATE APPROVED: �'�.� <br /> BUII..DNG REV�`� BY: DATE APPROVED: � -r ti -c;-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes :/ No <br /> PLAi�t REVIEW Yes ✓ No SEWF.R COivNECTION <br /> STATE SURCHARGE Yes _� No WAT�RCOi�1I�TEC"ITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZON�TG CH�CK LIST Zoning District: ."V - C �-f�4-r1,c� -(J . <br /> Fire Departmen[: Post Office: School Disuict: � <br /> Lo[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: �Vetlan • <br /> Building Hei�ht: Def. Hgt. Pea�:Hg <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Re olution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I,ot Coverage: <br /> Ezistino Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />