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� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �15 1�.ok E.51.� F AR�rw 2e A n <br /> PID: <br /> DESCRIPTI4N OF WORK: �Q cr-. C�/-��AG� <br /> ZO.�1I�1i G REVIEW BY: DATE APPROVED: y•z�-o� <br /> BUII.DING REVIEW BY: DATE APPROVED: y• L i. b� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW � Yes �/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ri STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONIt�tG CH�CK LIST Zoning District: <br /> Fire Department: Post OfFce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: s�s�r FI c.� <br /> Proposed Setbacks: <br /> Front(Lake): 1 l� � �' Right Side: (, 3' 1 I r� <br /> Rear(Street): `1 bS� ; Left Side: 311�� <br /> Ad;acent Structures: 3a' Wetland: /V/r4 <br /> Building Height: Def. Hgt. �"7 Peal:Hgt. <br /> Lot Coverage: N /� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �V c� <br /> Avg. Setback: Bluff Setback: L,ot Covenge: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' � <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMA.RKS(in house): <br /> 7 <br />