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� "' - CHECK OFF LIST FOR ISSUANCE OF PE&11ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �7 u �-i v n,r�-�q R� (�r4� <br /> PID: � <br /> DESCRIPTIONOFWORK Lp`,.��2 �...v�.� (LE.rv►.o4E� <br /> ZOIVING REVIEW BY.• N I fA DATE APPRO ti�D: <br /> BUILDING REVIEWBY.• DATE APPROVED: Z -3-O Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes ,/ No SEWER CONNECIION <br /> STATE SURCHARGE Yes� No �VATER CONNEC�70N <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No �/ SITE INSPECTIOti <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Districz: /v o CKAnIG� <br /> Fire Depanment: Post Office: School District: <br /> Lot Area: Sq ft. Acres Width Deptlz <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Lefi Side: <br /> Adjacent Structures: erland: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Dcre: <br /> Septic: Staff Approval Date: 8��: —�,o C�n�,� iN # or �,�/LODu^S <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac�: Lot Coverage_ <br /> Existing Proposed <br /> Hardcover: 4-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Appr�ti�al: <br /> REMARKS(in house): <br /> 32 <br />