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M � � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�"1 S -�nc o�s !VI,11 s 1�� <br /> PID: <br /> DESCRIPTION OF WORK: D���c <br /> ZOY�TG REV�W BY: DATE APPROVED: -� -Iz- o t <br /> BUILDING REVIEW BY: DATE APPROVED; "� - �Z-� 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAi�1 REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: I�/o C ►� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Yes eL No Date of Survey: o� 1=i c.�c <br /> Proposed Setbacks: <br /> Froat(Lake): ��� Right�Side: �Zo � t <br /> Reaz(Sueet): ,5�b6 � t Left Side: 2 3U� t- <br /> Adjacent Structures: �(�pc9 Wetland: 3S � �" <br /> Building Height: Def. Hgt. Peak Hgt. <br /> L.ot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> `�r' Shoreland District: <br />�i Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />