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� , . <br /> CHECK OFF LIST FOR I5SUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 6-1 c� ��.0 l�e�., �D�w�a�. <br /> PID: <br /> DESCRIPTION OF WORK: ?'�,na� SA�eS 71Lf�ua/� <br /> ZO.vl�Ti G RE'VIE`V BY: G.19. f- /XO(� DATE APPROVED: /�•ZS-oS' <br /> BUII�DI�'G REV�W BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW � Yes No � SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No ✓ SITEINSPECTTON <br /> Number of SAC�Units NoT �NNe� -1.� se.,.�e��THER (specify) <br /> ZO�II�TG CH�CK LIST Zoning District: �.1� <br /> Fire Department: Post Office: Schooi Distric[: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes �c No ate of Survey: �-�S-o� <br /> Proposed Setbacks: <br /> Fron[(Lake): 3o±F��,Qe Right Side: <br /> w A�cdL <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. cs•k Peal:H t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: � Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: B1uff Setback: I.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REi1�IARKS (in house): <br /> 7 <br />