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, � ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S'�� 1�b Y..,�s� t=p►rL.�,��� <br /> PID: <br /> DESCRIPTION OF WORK: /�p�� �'�--� <br /> ZO�TING REV�W BY: DATE APPROVED: � i- -�- 01 <br /> BUII..DING REV�W BY: DATE APPROVED; _1 l -'7-a 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �l No <br /> PLAN REVIEW Yes _� No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School Districr. � <br /> Lot Area: Sq:ft. Acres - Width Depth <br /> Survey Submitted: Yes_ C� No Date of Survey: /l�-Z9-OI <br /> Proposed Setbacks: <br /> Front(Lake): �'Z�•Z Right Side: 71.•2 <br /> Reaz(Street): Spc�� �L Left Side: S�i.3 <br /> Adjacent Structures: hJ I/� Wetland: 111 I/.� <br /> Building Height: Def. Hgt. 'Z'Z.r Peal:Hgt. �2.7� <br /> Lot Coverage: N�/9' <br /> Grading: Staff Approval Date: /o-`�-o t gy; .D .. Council Approval Date: — <br /> Septic: Staff Approval Date: __�-2.g -p� By:� <br /> Zoning File: # -- Resolution: # �- Resolution Date: �- <br /> Shoreland District: /J ��' <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> REMARI�S (in house): <br /> 7 <br />