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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��p� yV�U�} 2 R�. ( .1�4N� <br /> PID: " <br /> DESCRIPTION OF WORK: �'�r�.�, (L��a�' s ��v <br /> --------------------- -- ----------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /�S- 9 7 <br /> BUII..DING REV�W BY: DATE APPROVED: i - s'-g 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes �r No SEWER COrtNECTION <br /> STATE SUR�HARGE Yes _�� No WATERCOrfNECTION <br /> INVESTIGAT'ION FEE Yes - No PARK FEE <br /> SAC Y:;s No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECB LIST Zoning District: <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 /> Rear(Street): Left Side: � <br /> , Adjacent Structures: Wetland: <br /> I � <br /> Building Height: Def. Hgt. Peak Hgt. <br /> � Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: ,. <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> • 26 <br />