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, <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12 5 y f.on�►c.r�/t�A Ati-t <br /> PID: <br /> DESCRIPTION OF WORK: �},p,p 1 r�v,.� <br /> ZO�'G REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes v No SEwER CONNECTTON <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE1vSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CB LIST Zoning District: (1�-!� � <br /> Fire Department: �NLou+�M Post Office: /Vlioc�n� School Disuict: wtsi�iJk-f <br /> Lot Area: Sq.ft. Nn ci�,�aw��c, Acres Width /�-���n Depth <br /> Survey Submitted: Yes_ C� No Date of Survey: <br /> Proposed Setbacks: � � <br /> Front(Lake): (,� Right Side: !00 <br /> Reaz(Street): �2^' � Left Side: N� <br /> Adjacent Structures: !J�/t Wetland: -- . <br /> Building Height: Def. Hgt. o� I,c Peak Hgt. '- <br /> Lot Coverage: d,�. <br /> Grading: Staff Approval Date: N 1 v� By: Counc�l Approval Date: <br /> Septic: Staff Approval Date: n/1/�- By: <br /> Zoning File: # N �� Resolution: # — Resoludon Date: — <br /> Shoreland District: �►�2S <br /> Avg. Setback: N 1� Bluff Setback: i✓!� Lot Coverage: -- <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' � �— <br /> 250-500' .� !r•d� <br /> 500-1000' /3.S /3•7 <br /> Hazdcover Vaziance Required: Yes No c� Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />