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CIiECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Z S �'V�c C�I�e•� (Z.o.ai/� ' <br /> PID: <br /> DESCRIPTION OF WORK: (�ow�:2 Cx—v�L F�N�s M <br /> ZO�IG REY�ti� BY: (� DATE APPROVED: <br /> BLRLDI�IG REVIE`V BY: DAT'E APPROVED; a -S •�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes ✓ No <br /> PLA1�T REVIEW Yes _�;�i No f SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> Z01TING CHE.CK LIST Zoning Districc: nr c� c(-� O . <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 /> Reaz(Street): Left Side: <br /> Adjacent Structures: Netland: <br /> Building Hei;ht: Def. Hgt. Peal:Hgt. <br /> Lot Coveraoe: <br /> Gradine: Staff Approval Date: By: Council Approval Date: <br /> Septic: Scaff Approval Date: By: <br /> Zoning File: # Resolution: # Resolutioa Date: • <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Existine Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMA.RKS (in house): P�2 0 2�c��r�s d-`. I-4-n�sR p c� <br /> 7 <br />