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� , <br /> . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 35so �v PcAc� <br /> PID: <br /> DESCRIPT'ION OF WORK: �Z�C'�i�.� P�tirr••v ��= ►1,ous1+ a.,-e. �x�sr�n•5 (�--���v/�a;��.-� <br /> ZO.�i TG REVIEW BY: DATE APPROVED: �-� t -os" <br /> BUILDING REVIEW BY: DAT'E APPROVED: �_,Z -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1� No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No c� PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONI�IG CH�CK LIST Zonin; District: <br /> Fire Departmen[: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: oN E=t� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Hei�ht: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> � CTrading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By: <br /> -L� <br />�Jr Zoning File: # Resotution: # Resolution Dace: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: L,ot Covera�e: <br /> Existina Proposed <br /> � <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-SGO' <br /> 500-1CCfl' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �2EVIARKS (in house): <br />