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s . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS � <br /> � - FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: ��5 �G�t�G sH l=i4 fz.� �201� <br /> PID: <br /> DESCRIPTION OF WORK: �oe � <br /> ZO�TING REVIEW BY: DATE APPROVED: y- �-I-�3 <br /> BUII.DING REVIEW BY: N�i'- DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> pI,AN REVIEW Yes �/' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes c/ No WATER CONIVECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ____�_______--_ ____---_---__----------------------------------_____--- ----------- <br /> ZOti�ING CHECK LIST zoning Districc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid[h Depth - - <br /> Survey Submitted: Yes_ C� No Date of Survey: oe•s �'� v� <br /> Proposed Setbacks: <br /> Front(Lake): I�1 j� t Right Side: 185� � <br /> Reaz (Sueet): S'vo� �' Left Side: S Q� � <br /> Adjacent Structures: I 0 � -� Wetland: ?.�°� t' <br /> Building Height: Def. Hgt. ^//�- Peak Hgt. — <br /> Lot Coveraae: �/!ra- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: . . . <br /> Shoreland District: N� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REivIARKS(in house): <br /> 7 <br />