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. , � . <br /> r CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> • ADDRESS OR LEGAL: 1 �O S N 0 R-1'1 A-��''` d� <br /> PID: <br /> DESCRIPTION OF WORK: fLG�u<<-✓J �� � <br /> Z0��1Ti IG REVIE`V BY: DATE APPROVED: q - �L -o y <br /> BUII�DI�i IG REV��V BY: DATE APPROVED; �• /6 -6 Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAl� REVIEW Yes No �/ SEWF�CONNECTION <br /> STATE SURCHARGE Yes _� No WATIItCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STI'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> Z011iI�1G CH�CK LIST M Zoaing District: /UD CC-(r��4� �� �0/�?'`��C� /��0`'�`'�`� <br /> 7- 9 —�s7 <br /> Fire Departmenc: Post Office: School District: � <br /> Loc Area: Sq�.ft. Acres Width Depth <br /> Survey Submitted: Yes N Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Si <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �Vettan : <br /> Building Height: Def. Hgt. Peak H t. <br /> Lot Coverage: <br /> Gradino: Staff Approval Date: By Council Approval Date: <br /> Septic: Staff Agproval Date: <br /> Zoning File: # Resolution: f� Resolutioa Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb k: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � <br />