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" CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 57 5 K b 1��H �A��+-�. R�� <br /> PID: <br /> DESCRIPTION OF WORK: �=,nr�s��► ,(oo.•. �.3o,,e G.�c,C <br /> ZO�tG REVIEtiV BY: N/� DATE APPROVED: <br /> BUII.,DIi�iG REVTE'4V BY: �.,� /' DATE APPROVED; $ -�{-o N <br /> — -----__- -----�_______---_----_------------------------------------=------- --- <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes � No <br /> PLA��t REVIEW Yes �' No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes � No WATERCONNECI'ION <br /> TNVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING C�3E.CK LIST Zonino Discricc: N� C E�+r�� . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Progosed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Netland: <br /> Building Height: Def. Hgt. Peak 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: Bluff Setback: L.ot Coverage: <br /> Existine Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REl�'LARKS(in house): <br /> 7 <br />