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, CHECK OFF LIST FOR ISSUANCE OF PER�I�IITS <br /> � _ FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: I 3 I 7 NoR�nf A�t� ,d2 . <br /> PID: <br /> DESCRIPTION OF WORK: C�lt��i rv� �-- � L! — <br /> , - . <br /> ZO�'G REVIE`v BY: DATE APPROVED: � 'L3 �o <br /> BUII..DING REVIEtii�BY: N�/a- . DATE APPROVED: <br /> 6(1A�O� •� Sc�o c.�ar c. w�o G�• � <br /> FEES TO BE CHARGED: � A` ^�Misc. Fees Calculated B��� <br /> pERMIT Yes �� No : <br /> pLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYLVG CHECg LIST Zoning Districr. /!/U C G¢�� _ � <br /> Fire Deparcment: Post O�ce: 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 Sid • � <br /> Reaz(Street}: Left Side _ � <br /> Adjaceat Structures: etland: . <br /> Building Height: Def. Hgt. eal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: __ <br /> Septic: Staff Approval Date: By: <br /> Zoning File: /# Resoludon: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: I.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> gEbiARKS (in house): <br /> 7 <br />