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� <br /> � CHECK OFF LIST FOR ISSUANCE OF PEIt1v1ITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3y�1� C,�R�L �q V(� <br /> PID: <br /> DESCRIPTION OF WORK: fl7.G�v � <br /> Z0�1ING REVIEW BY: DATE APPRO��ED: 7 •�5 -c�� <br /> BUILDING REVIEW BY: DATE APPRO�-ED: �7•Z5-c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ' <br /> ; <br /> PERNIIT Yes r/ No " <br /> pLAN REVIEW Yes c/ No SEWF.R CONNECTIOl� <br /> STATE SURCHARGE Yes � No WATERCONi�'ECTIOti <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTIOti' <br /> Number of SAC Units OTHER (specif�-) <br /> ZOti�IG CHECK LIST Zoning Districc: LR- l L <br /> Fire Department: yVl 0 u N✓� Post Office: t,v IPc�Z�T1nr School Disuict: W L"'ST C N K✓L <br /> Lot Area: Sq.ft. N'o C/-��4,►v b�. Acres Width �� <br /> Survey Submitted: Yes� No_� Date of Survey: <br /> �r►�,�-T Ts ��c�.q,�nA•� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: I 0 '�" <br /> Reaz(Street): (,0� 'a' I.eft Side: (0 t" <br /> Adjacent Structures: Z� ` '�' Wetland: �r� <br /> Building Hei�ht: Def. Hgt. O ��L Peal:Hgt. d.tc. <br /> Lot Coveraae: c9 �{�L <br /> Grading: Staff Approval Date: /��� By: Council Approval Date: <br /> Septic: Staff Approval Date: /��/�` By: <br /> Zoning File: # — Resolution: # Resolution Date: . . <br /> Shoreland District: N � <br /> Avg. Setback: Bluff Setback: �t�o�'�'==� <br /> Existing Propose� <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council�-�proval: <br /> REMARKS (in house): <br /> 7 <br />