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, CHECK OFF LIST FOR ISSUANCE �F PERMITS <br />, FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8 3� H v rv-r F A R� r2.d � <br /> PID: <br /> DESCRIPTION OF WORK: (�c�k <br /> ZO�TPi tG REVIEW BY: DA1'E APPROVED: 8 �.1 - o� <br /> BUII.DING REVIEW BY: DATE APPROVID: �•Z7•o z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLA1�1 REVIEW Yes v- No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: (o- �t-�b? <br /> Proposed Setbacks: <br /> Front(Lake): 1�{0'�' Right Side: ZOp' t <br /> Rear(Sueet): �$Z.� � Left Side: (na � ; <br /> Adjacent Structures: �►7TX)c�lG� Wetland: K//� <br /> Building Height: Def. Hgt. N//� Peal:Hgt. — <br /> Lot Coverage: — N//� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: f� — Resolution: # Resolution Date: <br /> Shoreland District: — /va <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS(in house): <br /> 7 <br />