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. � <br /> . A <br /> CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?�p � ��-T1-{- �q� NO <br /> PID: <br /> DESCRIPTION OF WORK: tR (Z.�-?�vU� �, � <br /> ZONING REVIEW BY: DATE APPROVED: �u I r9 <br /> BUILDING REVIEW BY: DATE APPROVED: /2.•( - �i � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes r� No <br /> PLAN REVIEW Yes • No ✓' SEWF.R CONNECITON <br /> STATE SUR�HARGE Yes �' No WAT�RCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y;:s No STTEINSPEC"TION <br /> Number of SAC Units OTHER (specify) <br /> ZONING 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 /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> .� <br /> � Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; �# Resolution: # Resoludon Date: <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> � 26 <br />