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r <br /> � CH�CK OFF i.iST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 31�1 /UDR� A21N� �J+e <br /> PID: <br /> DESCRIPTION OF WORK: i3As�vY.��r �=,��sl-4 <br /> ZOVPi TG REVLEW BY: DATE APPROVED: �(/� <br /> BUILDING REVIE`Y BY: DATE APPROVED; �. 2�-o ro <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: N'o c� <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 /> Rear(Street): Left Sid . <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: � <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resotution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: L.ot Covenge: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REv1ARKS (in house): <br /> 7 <br />