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! <br /> � ' <br /> ' . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( !b l C�-�Mw C��� <br /> PID• <br /> DESCRIPTION OF WORK: �,,�,p ��,� � �,�1U.�G�, <br /> ZONING REVIEW BY: DATE APPROVED: � � -�c-r�� <br /> BUII..DING REVIEW BY: DATE APPROVED: I r- 9 -� l <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes !L. No Date of Survey: p�v �'�� <br /> Proposed Setbacks: <br /> Front (Lake): � 33� Right Side: �� � <br /> Reaz(Street): '� 15�"'�- Left Side: $'7� f" <br /> Adjacent Structures: �4YM+c(f e� Wetland: /V I,A <br /> Building Height: Def. Hgt. p.�C. Peak Hgt. 0 1� <br /> Lot Coverage: p �HC- <br /> Grading: Staff Approval Date: '— By: Council Approval Date: <br /> Septic: Staff Approval Date: �--- By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: �.(�CS <br /> Avg. Setback: /U � /� Bluff Setback: /V (f} I,ot Coverage: <br /> Existing Proposed <br /> Hardcover. 0-75' <br /> 75-250' <br /> 250-500' �.�C <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />