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• � , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 3Z�3 [>��,,,vGSTn� <br /> -. <br /> PID: <br /> DESCRIPTION OF WORB: ��W (Z�-= S <br /> ZOVTi 1G REYIE`V BY: DA'I'E APPROVED: /�- �2-S�7 <br /> � BUII�DL�TG REVIEti�BY: - DATE APPROVED.; �l -LZ �',5 <br /> FEES TO B� CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �_ No <br /> pLAN REVIEW Yes �_ No SEWER COTfNEG"ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION n,AJ wq� <br /> INVESTIGATION FEE Yes No PARK FEE `�74''�"'�`"� '�`� <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units 1 OT�iER(specify) <br /> � _____�_ �_�-------- <br /> ZO�tING CH�CK LIST Zoning Districc: [� -��-� <br /> Fire Department: Vv��v N✓� Post Office: �„J i4 y-vt��r,/� School District: w e 5 r0i��c�4 <br /> Lot Area: Sq.ft. l 9� Acres .�`i y � Width "3� Depth (a� <br /> Survey Submitted: Yes_� No Date of Survey: O-OS•9 <br /> Proposed Setbacks: � � � <br /> Front(Lake): (S Right Side: � �� � <br /> Rear(Street): � 3 Left Side: � <br /> Adjacent Structures: O� Nedand: /�1 � IA <br /> Building Height: Def. Hgt. p•�L Peal:Hat. <br /> Lot Coverage: N � v4 ' <br /> Grading: Staff Approval Date: 0 �l�C By: �_ Council Approval Date: <br /> Septic: Staff Approval Date: N I � By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> � �' � Existing Proposed � <br /> � Hazdcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Councit Approval: __ <br /> REMARKS (in house): <br /> 7 <br />