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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: . 2 l �0 K C�W OOb w�� � <br /> PID• <br /> DESCRIPTION OF WORS: _ 2r.W�p9c+L. / i?��9t2 <br /> ---------------------------__ w� <br /> ZONING RE'�lEW BY: (A DATE APPROVED: <br /> BITa,DING REY�W BY: DATE APPROVED: � - �0 - 5 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes v'' No <br /> PLAN REVIEW Yes No �./ SEWER CONNECTTON <br /> STATE SUR�HA1�C� Yes �/ No WATER CONNECTTON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: <br /> Fire Department: Post Office: School Districr. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Surv�y Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: ' <br /> Front (Lake): Right Side; <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> ,A``� Lot Coverage: . <br /> Y_• . <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By; � <br /> Zoning F'�le: # Resolution:#. Resolution Date: � <br /> Shorelaad DisL�ict: � � <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • E��g Proposed <br /> Hazdcover: 0.75' <br /> 75-250' . . . <br /> 2sasoo� . <br /> soai000� <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARBS('in house): <br /> ' • 26 <br />