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. . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: Z S'i S /<e I � � <br /> PID: <br /> DESCRIPTION OF WORK: �.,�,�0,4�,,.•i ��+-�� <br /> ZO,VI�Ii G REV�W BY: DATE APPROVED: � -z� - �y <br /> BjJII.,DI�TG REVIE'4V B : DATE APPROVED; -� .2v-o�j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes _� No <br /> PLAl�I REVIEW Yes -�! No ✓ SEWER CO�]NECI'ION <br /> STATE SURCHARGE Yes � No WATERCONNECI'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoaine District: aV� G'�f�'�,Q . <br /> Fire Department: Post OfFice: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wet d: <br /> Building Hei;ht: Def. Hgt. P •Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution # Resolutioa Date: � <br /> Shoreland District: <br /> Avg. Setback: luff Setback: I.oc Covecage: <br /> xisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Da[e of Council Approval: <br /> REl�'LARI�S (in house): <br /> 7 <br />