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CHECK OFF LIST FOR ISSUA��ICE OF PER1vIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �1 Z�-( L,�u i��[Ca s`t-o N IAv-2 <br /> PID: <br /> DESCRIPTION OF WORK: N'G-�,cJ �2,� <br /> ZO�ti G REVIE`V BY: DATE APPROVED: 7-3/ -OI <br /> BUII.DL�,'G REVIEW BY: DAT'E APPROVED: �- 3�_v� <br /> FEES TO BE CHARGED: 11isc. Fees Calculated By: <br /> PERNIIT Yes ,/' No <br /> pLAIV REVIEW Yes v' \o SEWER CONNECITON <br /> STATE SURCHARG� Yes �/ �'o WATERC0�INECTTON -3.�°" <br /> INVESTIGATION FEE Yes \o +�" PARK FEE <br /> SAC Yes `o STTE�SPECTION <br /> Number of SAC Units � OTHER (specify) <br /> Z0�1�i'G CHECK LIST Zoning Districr. C_/L—/G- 1 <br /> Fire Department: ��.�7 Post Office: ��--w/ School District: (,c�{5%�� <br /> Lot Area: Sq.fr. � L�O Acres ,o Z`1 �Vidch 2.c� Depth �y <br /> Survey Submitted: Yes C No Date of Survey: "1-�3'D I <br /> Proposed Setbacks: <br /> Fror.t (Lake): �5•'��'1 Righ[ Si��: � <br /> Rear (Street): �'1•�I`'� Left Side: O <br /> Adj�cent Structures: �4TC�4Ci(�lt.N� «'etland: N I A- <br /> Buildin' Hei�ht: Def. Hgt. m .1,�- Peal:HJt. (9� <br /> Lot Covera;e: <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Scaff Approval Date: By: <br /> Zonin; File: � Resolution: # Resolution Date: <br /> Shoreland District: <br /> N��-• �� Avg. Setback: Bluff Setback: Lot�overa�e: <br /> Existins Proposed <br /> Hardcover: 0-75' � <br /> 7�-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes tio Da[e of Council Approval: <br /> vIARKS (in house): <br /> 7 <br />