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. � , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 37Z� (���!I N C,ST�/v 1g�- <br /> PID: <br /> DESCRIPTION OF WORK: IV C,c,�S �2.c� <br /> _ _----------------------------------------------�----�-- __ <br /> ZO�TPi TG REVIEW BY: � DATE APPROVED• '� 3�-c�1 <br /> BUII..DING REVIEW BY: DATE APPR4VED; -�- 3 t -n► <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLA�v REVIEW Yes _� No SEWF,R CONNECITON <br /> STATE SURCHARGE Yes � No WATII2CONNECTION ��0'= <br /> INVESTIGATION FEE Yes No �_ PARK FEE <br /> SAC Yes c/ No SITEINSPECTION <br /> Number of SAC�Units � OTHER (specify) <br /> ZO�TING CI�CK LIST Zoning District: L/! -/L- � <br /> Fire Departmenr. yVl,pv n�✓� Post Office: �t79�rw✓� School District: j1v�J1a/Ji� <br /> Lot Area: Sq.ft. (�i � Acres •(7Y�( Width 3 o Depth b`( <br /> Survey Submitted: Yes DC No Date of Survey: "�.�1 -O t <br /> Proposed Setbacks: <br /> Front(Lake): �S•�1 y Right Side: [� <br /> Rear(Street): �"1,�''� Left Side: f c�� <br /> Adjacent Structures: ___�Q--7/-�4C.fft�� Wetland: /J//� <br /> Building Hei�ht: Def. Hgt. t9 •(L Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �'r� Shoreland Disuict: <br /> �' Avg. Setback: Bluff Setback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Requued: Yes No Date of Council Approval: <br /> REMARKS (in house): _ <br /> � <br /> 7 <br />