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CHECK OFF LIST FOR ISSUAi�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZ S �O LL A N 1�t R R fl <br /> PID: <br /> DESCRIPTION OF WORK: �ow�.�� �.E.v c=-� ��Zx.w��✓��.Z <br /> Z0�1G REVIEW BY: N/A DATE APPROVED: <br /> BUII.,DI�i 1G REV�`� BY: DATE APPROVED; �-?1-o Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PL?.i�T REV�W Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: N 0 Glf�4N'6 C:: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. Acres Width Depch <br /> Sur�ey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Si <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: �V land: <br /> Building Height: Def. Hgt. P al:Hgt. <br /> Lot Coverage: <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 etback: L.ot Coverage: <br /> Existin 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 /> RENIARI�S (in house): <br /> 7 <br />