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" CHECK OFF LIST FOR ISSUANCE OF PER1vIITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: l 3S C..�c.t;�.i n�c� 2.��O�c� . <br /> PID: <br /> DESCRIPTION OF WORK: �1 �-z� u �.r�'��A c� ,.►..a..�- <br /> , - - <br /> ZO�'G REVIEW BY: � DATE APPROVED: �-��c -� <br /> BLTII�DING REV�W BY: �¢ DATE APPROVED: 7-��, -v� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �' No ;. <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes r� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONL�tG CH�CS LIST zoning District: �vu c�-�-.�c,P � <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 /> Froat(Lake): Right Side <br /> Rear(Street): Left Side: <br /> Adjacent Structures: etland: . <br /> Building Height: Def. Hgt. P al:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resotution Date: <br /> Shoreland Disuict: <br /> Avg. Setback: Bluff Setba k: Lot Coverage: <br /> E���g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2S0-S00' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Dace of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />