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CHECK OFF LIST FOR ISSUANCE OF PERMITS . <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: g�� ����� �Z p q/��V. <br /> PID: <br /> DESCRIPTION OF WORK: o0 1 <br /> ZO�tIvi G REVIE�V BY: DATE APPROVED: $ -J b• o S <br /> BUII�DI\'G REVIE`V BY: DATE APPROVED: g-t�,-o�- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,/ No SEWF.R COi�EC`ITON <br /> STATE SURCHARGE Yes ,/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No f PARK FEE <br /> SAC Yes No ��SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�ivG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Widch Dep[h <br /> Survey Submitted: Yes �_ No Date of Survey: CN ���..E <br /> Proposed Setbacks: <br />� Front (Lake): 3��� + Right Side: 2� � <br /> L <br /> Rear (Street): 2�13 Left Side: 11"� <br /> Adjacent Structures: �Y� t Wetland: zz.y � � <br /> Buildin� Height: Def. H�t. /V/ �}- Peak Hgt. — <br /> Lot Coverage: N I�1 <br /> Gradina: Staff Approval Date: � - l b , o S By: T�� Council Approval Date: <br /> Septic: Staff Approval Date: N 1✓� By: <br /> Zonin� File: � — Resolution: � Resolution Date: <br /> Shoreland District: <br /> Av;. Setbac : vq2,q-Nc� gu Bluff Setback: N LotCo��erage: — <br /> M�v Etisting Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' �.�� <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Dace of Council Approvai: <br /> RE�SARIiS (in house): <br /> 7 <br />