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CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�z S u..�1 ti �Q,..Q <br /> PID: <br /> DESCRIPTION OF WORK: c.cr� vTPcsacA..ti.n�� <br /> ZO�TIl�G REV�W BY: DAT'E APPROVED: 5- 5 -�� <br /> BUII.DING REVIEW BY: DATE APPROVED; �-S-vo <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAN REVIEW Yes J No SEWER CONNECTTON <br /> STATE SURCHARGE Yes _� No WATF.RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CB LIST Zoning District: iv o L��tr�S.P 7- d• (� <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres dth Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: � <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: . <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: /� Resolution: # R solution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <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): s v2 o n! =�C,l� — n�o s �7 L � <br /> � 6�� <br /> 7 <br />