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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3-64,d �-�w�5 vh,��—z- <br /> PID: <br /> DESCRIPTTON OF WORK: <br /> ZO�IG REVIE`V BY: ` �- DATE APPROVED: /o-r-o-`1 <br /> BUILDI�IG REVIE�Y BY: DAT'E APPROVED; i� -r -aY <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11�1IT Yes ✓� No <br /> PLAiv REVIEW Yes �/ No SEWER CO�]NECI'ION <br /> STATE SURCHARGE Yes v No WATERCONNECTION <br /> TNVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOYIl�TG CHE.CK LIST Zoning Districr. �. <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes_ /� No Date of Survey: QN Fi� <br /> Proposed Setbacks: ' <br /> Froat(Lake): ���� � Right Side: 6�' � <br /> Reaz (Street): 2'I S Left Side: 3/� <br /> Adjacent Structures: i47-7'►4ctiw� `Vettand: 2�� t <br /> Building Hei�b.t: Def. Hgt. �y.k. Peal:Hgt. <br /> Lot Coveraae: N/A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Agproval Date: — BY� <br /> Zoning File: # — Resolution: # Resolutioa Date: _ � <br /> Shoreland District: A/v <br /> Avg. Setback: Bluff Setback: LotCovera;e: <br /> E�t�, Proposed <br /> 0 <br /> Hazdcover: 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 />