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� • CHECK OFF LTST FOR ISSUANCE OF PER.iI�ZITS ;�c�� � �J <br /> FOR OFFICE USE ONLY � ► <br /> ADDRESS OR LEGAL: _ � l J �='o��.,�S� �jl�,z,,,�; i��r� <br /> PID: <br /> DESCRIl'TTON OF WORK: _ (�� (,',�p�� ,,n <br /> -------------------------------------------- <br /> ZO�YG REVIEtiV BY: N (,� DATE APPROVED: <br /> BUII.,D .�i tG REVIEW BY: �.,F'�,�L,.:.��_ DA'I'E APPROVED: � -r��- -� s� <br /> -- ----—�r ------------------ --------------- / -- <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No ' <br /> PLAN REV�W Yes No SEWER CO��TNECTION <br /> STATE SUR:HARG,c Yes �i No WATERCO'VNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------ ------- <br /> _ ZO�tING CI-�CK LIST Zoning District: G-�`L G���,��- <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres tiVidth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ Right Side: <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: �Vetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By; <br /> Zonino File: # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> ' � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' . <br /> 250-500' • <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> RE1I�IARKS (in house): <br /> , . ` .. 26 <br />