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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z�i�-(v r-o x s� <br /> PID: <br /> DESCRIPTION OF WORK: N�.w i2.�.�. <br /> ZO.�I�ti G RE'VIE`V BY: DATE APPROVED: S• 5 -� 5 <br /> BUILDI\"G REVIE`V BY: DATE APPROVED: � - 5- � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No _�� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZONI�i 1G CH�CK LIST Zoning District: <br /> Fire Departmen[: Post O�ce: School District: <br /> LotArea: Sc.ft. ��O,I�aZ.�l Acres Z•5� Width 255-�� Depth 370•�5 <br /> Survey Submitted: Yes Oc No Date of Survey: �7•i z -o� <br /> Proposed Setbacks: <br /> Front (Lake): (`8 b •3 Right Side: i S 6 •`f <br /> Rear (Street): 9 7 1 Left Side: �3. �z <br /> Adjacent Structures: _��/1 Wetland: -1S� <br /> Buildin; Hei;ht: Def. Hgt. 3� Peak Hgt. 38` <br /> Lot Covera�e: N�/�- <br /> Grading: Staff Approval Date: �� � �o� By: �4, Council Approval Date: — <br /> Septic: Staff Approval Date: 5- 5 -o� By: w-� <br /> Zoning File: �# — Resolution: #� — Resolution Date: <br /> Shoreland District: /'Uv <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> Existin� Proposed <br /> � <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> �00-1000' <br /> Hardcover Variance Required: Yes Iv'o Date of Council Approval: <br /> REbLARKS (in house): <br />