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� � • <br /> CHECK OFF LIST FOR ISSUAi�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � l�;`� �:.�� .L.. L�r�;�-' �`.� k�<, �' <br /> PID: <br /> DESCRIPT'ION OF WORK: ;�}-��;� , -c-� ���;'� <br /> ----------- ----------------- ------ � ---------------------------------------------------------------- <br /> ZONING REVIEW BY: �.--� -- �- DATE APPROVED: Z-z�, �=� <br /> BUILDING REVIEW BY: DATE APPROVED: � •B�, �� <br /> ------------- -----------------------� -------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�� No <br /> pL�,N REVIEW Yes �./ No SEWER CONNECITON <br /> STATE SURCHARGE Yes c/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOr�1G CHECK LIST Zoning Districr. �'.('�-� � <br /> 1 � i <br /> Fire Department: �,h�t.ir����N Post Office: w�,.,q ni� V�L����ti.' School District: ���%G��J <br /> L.ot Area: Sq.ft. iv� ��.rv�,��;.0 Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: �;P� i=I 1.,� <br /> Proposed Setbacks: <br /> _ Front (Lake): Sli Right Side: `�'�� � <br /> Rear (Street): 7.cv��� i` Left Side: r� ;' _ <br /> Adjacent Structures: ti "e�' We[land: _ ' <br /> Buildin� Height: Def. Hg[. � , {�- Peal:Hgt. �;. (` <br /> Lot Covera�e: ,�v 1✓� <br /> Grading: Staff Approval Date: — By: '— Council Approval Date: <br /> Septic: Staff Approval Date: '— By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /l.`�� <br /> Av�. Setback: Bluff Setback: LotCoverage: <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�iARKS (in house): <br /> 7 <br />