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� � CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: 3�l'3(o C..c v t�t�S'�N A�2 <br /> PID: <br /> DESCRIPTION OF WORK: pzT/}���p �a-n.��e <br /> . <br /> ZO�TG REV�W BY: DATE APPROVED: ? •/3 'a4 <br /> BUII.DI�i tG REVIEW BY: DATE APPROVED; 7. r 3 -� <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZON�1G CH�CK LIST Zoning District: G/L• ��- � <br /> Fire Department: 1'VW�N✓� Post Office: W q�t�i4-TY� School District: �p�-roN1+t�. <br /> Lot Area: Sq.ft. �-1 Sf�O Acres • � Width 5� Depth QD <br /> Survey Submitted: Yes � No Date of Survey: �I'? `�� <br /> Proposed Setbacks: <br /> Front(Lake): SO� Right Side: �I� <br /> Reaz(Street): I Z' I,eft Side: 5 <br /> Adjacent Structures: �p� f" Wetland: l�( A' . <br /> Building Height: Def. Hgt. �. � Peal:Hgt. (9 � I G <br /> Lot Coverage: V��� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: �-- By: �' <br /> Zoning File: # 2S$3 Resolution: # �4'12 Resolution Date: �- 2Z�00 <br /> Shoreland District: y�P7 <br /> Avg. Setback: �1(/k Bluff Setback: IJ I� Lot Coverage: o• k- <br /> Eaisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' � `{n •3 <br /> Hardcover Variance Required: Yes �- No Date of Council Approval: S-2z -cx� <br /> REMARKS(in house): <br /> 7 <br />