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• � � ` � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i 2s y �,�,� ���,o+�a p,v� - <br /> PID: <br /> DESCRIPTION OF WORK: (JC,� � �A�.C3 0 <br /> ZONING REVIEW BY: DATE APPROVED: � 1�-'1-02 <br /> BUILDING REVIEW BY: DATE APPROVED: ��• —�.o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes _� No SEWER COTfNF,CTTON <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): �n 0� '= Right Side: �c�� i' <br /> Reaz(Street): 220' � Left Side: 6 S + <br /> Adjacent Structures: pr-rT o.c�i�:� Wetland: M/�q. <br /> Building Height: Def. Hgt. — Peak Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approvai Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y,p.y <br /> Avg. Setback: n>>�1. Bluff Setback: — Lot Coverage: — <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' l9.(G <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No �� Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />