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( ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �I bU N p 2TN A;z�n U2_ � <br /> PID: <br /> DESCRIP'TION OF WORK: F�N�1 N �o �4-[�— <br /> ZO.�TI�Ti G REVIEW BY: �U DATE APPROVED: <br /> BUII.DING REVIEW BY: DATE APPROVED; ��- � $ -a 2 <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes No �� SERjER CONNECTTON <br /> STATE SURCHARGE Yes J� No WATERCONNECTION <br /> IIWESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CB LIST zoning District: /l,ro C l�� . <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: Wetl d: <br /> Building Height: Def. Hgt. Peal: t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Sepdc: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Dace of Council Approval: <br /> RE11�iARI�.S(in house): <br /> 7 <br />