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� � � CHECK OFF LIST FOR ISSU�rCE OF PEILti1ITS <br /> � FOR OFF CE USE ONLY <br /> �DDRESS OR LEGAL: yG' � � ° 1�z-��1� ID: � i' /l7 -�3 �� p�1..� <br /> DESCRIP"TIO� OF ��'ORK: `'"�'c,�� �ti����-'���-�.��- <br /> ---------------------------- <br /> ZO�i�i iG REVIEtiV BY: DATE APPROVED: '1-t�• �is <br /> BUII�DI�i i G REVIEW BY: DATE APPROVED: 1_i q-5$'_ <br /> - ------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�IIT Yes �' No <br /> FLAN REVIEW Yes s� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER COi�NECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE iNSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------- <br /> ZONL�`G CHECI� LIST Zoning District: LIL•i(3 Shoreland District : v�5 <br /> Fire Departmen�: �a�N+� Post Office: �M,o�n�� Schooi District: ���ro�uKA <br /> LotArea: Sq.ft. ID,2y� Acres �. �Vidth S� Depth Z(�S� <br /> Survev Submi�ted: Yes �_ tio Date of Survey: '�' �� ` �y <br /> Pronvsed Se:backs: ,� � $,M � <br /> �errt (La.�e): �b� #. RiQht Side: <br /> � (Sc.eetj: 7b� '}' Left Side: �� � <br /> A�jacent Stn_ctures: 30' `�vetland: /V l A <br /> B!lilding Height: Def. H�t. � zq•(i� Peal: Hat. �� <br /> �c Qt�t <br /> Av,. Setbacl:: V'�n.�.(,. WI��Bluff Setback: Nj/4' Lot Coverage: /$.y`�o <br /> Existin� Proposed <br /> Hardcover: 0-75 l.2�o <br /> �s-2so' y9 �3�� <br /> 2�0-500' <br /> �00-1000' <br /> Ha:dcover Vanance Required: Yes D� No Da[e of Council Approval: �'13`yS <br /> Gra iinv: Scatf .�pproval Date: 3 't;• `�'s By: m,A.(, Council ?�pproval Date: � 13—y� <br /> Sep�ic: Staff Approval Date: N (� By: <br /> Zoning File: � t9�_ Resolution: # 353� Resolution Date: 3��3'`+s <br /> RE1�It�S (in house): <br /> 26 <br />