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� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: r o d 5 �1 u N T r=�R-w� �2�R.� � <br /> PID: <br /> DESCRIPTION OF WORK: o�I <br /> ZOY�TG RE'VIEW BY: DATE APPROVED: 6 - 23-6y <br /> BUII.DING REV�`V BY: ,�ir3 DAT'E APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11�iIT Yes ✓ No <br /> PLAl�T REVIEW Yes �/ No SEVPER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes�c _ No Date of Survey: o•� -��� <br /> Proposed Setbacks: � <br /> Front(Lake): �oo� �' Right Side: `Zo�` �' <br /> Rear(Street): �3S � t Left Side: �'yv� f' <br /> Adjacent Structures: (b � Netland: N�►9� <br /> Building Hei�ht: Def. Hgt. — Peak Hgt. — <br /> Lot Coveraoe: � <br /> Gradine: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Agproval Date: -- By: <br /> Zoning File: # — Resolution: # Resolutioa Date: <br /> Shoreland District: rN <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variaace Required: Yes No Date of Council Approval: <br /> REMAR��S (in house): <br /> 7 <br />