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. . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�a� �.Y O��0 Gr�c c� � <br /> PID: <br /> DESCRIPTION OF WORS: 1Z-��o� <br /> ZONING REVIEW BY: /`� `/� DATE APPROVED: <br /> BUII.DING REVIEW BY: DATE APPROVED: 9-i e- 5> <br /> � � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓� No <br /> PLAN REV�W Yes No ✓ S�,'WER CONNECTION <br /> STATE SUR`HA�ZGE Yes �/� No WATER CONNECI'ION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIl�TG CHECB LIST zoning Districr. <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): Right Side: <br /> Rear(Street): Left Side: <br /> �, Adjacent Structures: Wetland: <br /> � Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: � <br /> Zoni.ng File: # Resoludoa:# Resoludon Date: � <br /> Shoreland Dis�ict: . <br /> Avg. Setback: Bluff Setback: Lot Coverage: � <br /> • Existing Proposed <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('m house): <br /> • 26 <br />