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� � CHECK OFF LIST FOR ISSUAI�ICE OF PER.IVIITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESSORLEGAL: yy �S Fo��% L�+i� �.•����� <br /> PID: <br /> � DESCRIP'rION OF WORK: w z (��,,o� �=��,,,S,.9 <br /> ZO�TING REVIEW BY: DATE APPROVED: y-z� -0 3 <br /> BUII.DING REV�W BY: DAT'E APPROVED: y_ z,..{ -v3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes J� No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECITON <br /> INVESTIGATION FEE Yes No v- PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOti"Il�1G CHECK LIST Zoning District: �v v C<fi'+rvc,� <br /> 4 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres � idth Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Buildin� HeiQht: Def. Hgt. Peak Hgt. <br /> Lo[ Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # R olution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: Lot Co��erage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IARKS (in house): <br /> 7 <br />