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i . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A►DDRESS OR LEGAL: 3c� !tit 2 Y T C.c:Gv ov/J /� � <br /> PID: <br /> DESCRIPTION OF WORK: ''Ww�p�—z <br /> ZOVTIG REVIE�V BY: 1tJ (t� DATE APPROVED: <br /> BUII..DI�i IG REVIE`V BY: DAT'E APPROVED: 7 -27. �y <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CO�]NECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> TNVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoaing District: N� C ct�� . <br /> J <br /> Fire Department: Post O�ce: School District: � <br /> Lot Area: Sq.ft. Acres � idth Dep[h <br /> Survey Submitted: Yes No ate of Survey: <br /> Progosed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Netl . <br /> Building Hei;ht: Def. Hgt. Pe - gt. <br /> Loc Coverage: <br /> Gradina: Staff Approval Date: By: Council Approval Date: <br /> Sep[ic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : Lot Covera?e: <br /> Eaisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variaace Required: Yes No Date of Council Approval: <br /> RE1��IAARKS (in house): <br /> 7 <br />