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� , <br /> CHECK OFF �IST FOR ISSUANCE OF PER.i'�ITTS <br /> FOR OFFICE USE ONLY <br /> ADDRE�S ORLEGAL: � ► o o �-1���Tr��� ��N�= <br /> PID: <br /> DESCRIPTION OF WORK: 3 ��-1,��,., s�N rt,°o.,,_ <br /> ZOVI�G REVLE`V BY: �,,,,�... .t- N�.G . DATE APPP.OVED: t, -� - 0 6 <br /> SUII�DING REVIEtiV BY: DAT'E APPROVED: 6 .,�_ o E, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIE`V � Yes No SEWER CO�INECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No _� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------------_—_----------------------------------------------------------------------- - <br /> ZO�IG CHE.CK LIST Zoning District: (^2- ►� <br /> Fire Department: , = Post Office: ��4�7A_-rw School District: p n,o,•�o <br /> Lot Area: Sq.ft. �-t 3, l00 I Acres 1 Widch Depth <br /> Survey Submi[ted: Yes_� No Date of Survey: S—��- v� <br /> Proposed Setbacks: <br /> Froat (Lake): (D� ' Right Side: ZY• f <br /> Rear (Street): (,(, � Left Side: �.��c <br /> W o�K 1��fS n!o� %�2�6�� <br /> Adjacent Structures: �q „ L�4-�� Wetland: 2�{d � weTvt�+�^p rss�s c,.u.f N'�.�,�c;T • <br /> Buil�lin� HeiGht: Def. Hgt. b.1� Peal:Hgt. — <br /> Lot Covera�e: I D°�" <br /> Grading: Staff Approval Date: /.�l�4 By: —' Council Approval Date: <br /> Septic: Staff Approval Date: N 1 VI �Y: — <br /> Zonin� File: (# -- Resolutioa: # Resolution Date: <br /> Shoreland District: y�tf� <br /> Av�. Setback� rv � yt Bluff Secback: �l I ✓a L.ot Coverage: — Ib'�� <br /> E�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-SQO' <br /> 500-1000' 29.3 Zy•'' <br /> Hardcover Variance Required: Yes No � Da�e of Council Approval: <br /> REI�LARKS (in house): <br />