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� <br /> , - CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . ADURESS OR LEGAL: 125 C��x-b�1v v t Gw +�R�`r2 <br /> PID: <br /> DESCRIPTION OF WORK: Sc�.n._e�.r o✓t..c.�.� -t �ec.�� <br /> -------------------------------------------------- -------------------------------------------------------------------- <br /> ZONI1�iG REVIEW BY: DATE APPROVED: �-Z� -a� <br /> BUILDING REVIEW BY: DATE APPROVED: � -2_.:c -�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes v No SEWER 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 /> ZONING CHECK LIST Zoning District: �v� c��,v� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: c�e� <br /> Proposed Setbacks: <br /> Front (Lake): ►2 b` +' Right Side: 'r!`�(� �' <br /> Rear (Street): ��� � Left Side: I u'2-. � <br /> Adjacent Structures: r4Ttv�+�t-4-`.`vJ Wetland: N �� <br /> Building Height: Def. Hgt. t9���- Peak Hgt. — <br /> Lot Coverage: N � /� <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � . <br />