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�. <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � • /�. <br /> PID: _ . - � � <br /> DESCRIPTION OF WORK: � — E/�r�i ��r' <br /> ZONING REVIEW BY: DATE APPROVED: �7 -22• t� <br /> BUILDING REVIEW BY: DATE APPROVED: 7-Zz-�i 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes v� No SEWER CONNECTION <br /> STATE SUR:I�ARGE Yes �/ No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST zoning District: <br /> L' Fire Department: Post Office: School District: <br /> N� <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes L No Date of Survey: !-Z Z-�b�7 <br /> Proposed Setbacks: � <br /> Front (Lake): _�{�0 � Right Side: 3c�� <br /> Rear (Street): ( �jUi�. Left Side: �/S � <br /> Adjacent Structures: A'T'T1�ILHc�J Wetland: N�A <br /> Building Height: Def. Hgt. C�,�� Peak Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Nn � Zoning File: # Resolution: # Resolution Date: <br /> (��� Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Existing 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 /> REMARKS (in house): <br /> � 26 <br />