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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �p �YRT l�W oc�rJ i 7A.�4�p <br /> PID: <br /> DESCRIPTION OF WORK: -<< <br /> ZOVING REV�W BY: DATE APPROVED: 7-�-a j <br /> BUILDING REVIEW BY: DATE APPROVED: -�. -�.-a S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW � Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No v� PARK FEE <br /> SAC Yes No ✓ SIT'EINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 5-Z8 -7`a CN r�u�.� <br /> Proposed Setbacks: <br /> Front(Lake): 7�� Right Side: s�o� * <br /> Rear(Street): 130' Left Side: 125 � '� <br /> Adjacent Structures: �,-r�ct�t�� Wetland: .�od� �' <br /> Building Height: Def. Hgt. /1//19 Peal:Hgt. �/i9 <br /> � <br /> Lot Coverage: N/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: !# Resolution Date: <br /> Shoreland District: Nc� <br /> Avg. Setback: Bluff Setback: I,ot Covenge: <br /> Ezisting 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 /> RENIARKS(in house): <br /> 7 <br />