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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'60 /vor�n�t Arzrn �0�• <br /> PID: <br /> DESCRIPT'ION OF WORK: (2,cw�o o�-Z. c.3n,T�t-�,, �J o rt.wk.vt T (Ce o r=�.�w.c <br /> Z0�1ni TG REY�W BY: DATE APPROVED: 9-�3-a5 <br /> BUILDIl�i G REVIE`V BY: DATE APPROVED: g-�3-o�- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes � No SEWER CONNECI ION <br /> STATE SURCHARGE Yes ✓ No WATER CONNEC'ITON <br /> INVESTIGATION FEE Yes No r/ PARK FEE <br /> SAC Yes No �- STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI�CK LIST Zoning District: <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: o� f-i c.E. 6 •1��5; <br /> Proposed Setbacks: <br /> Front(Lake): «(B r f Right Side: � �o� <br /> Reaz(Street): lq0 � Left Side: ��il� <br /> Adjacent Structures: r� Y� Wetland: n�rr4 <br /> Building Height: Def. Hgt. b -(� Peal: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 District: _��. <br /> Av�. Setback�: c�.1�- Bluff Setback: IJ �✓+ Lot Coverage: �- <br /> Ezisting Proposed <br /> Hardcover: 0-75' N� �,�� <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No cL Date of Council Approval: <br /> REI�IARKS (in house): <br />