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. <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2b n H ot(A,�,,oC-,2 �20,� � <br /> PID: � <br /> DESCRIPTION OF WORK: t�.P A��-S <br /> ZO.�TI�i 1G REVIEW BY: � �� DATE APPROVED: _ s-� �3 <br /> BUILDI�i TG REVIEW BY: DATE APPROVED; s-s-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAl�1 REVIEW Yes No ✓ SEWER COrfNECITON <br /> STATE SURCHARGE Yes r/ No WATERCONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: N� c���+� <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres " Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(Lake): Right Side <br /> Rear(Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eal:Hgt. <br /> Lot Coveraoe: - <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 S back: L.ot Coverage: <br /> Existin Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Couacil Approval: <br /> REMARI�S(in house): <br /> 7 <br />