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CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> . _ FOR OFFICE USE ONLY � . <br /> ADDRESS ORLEGAL: I ��� �o2�n-c A2� <br /> PID: <br /> DESCRIPTION OF WORK: iq,p,��-n� � <br /> . <br /> ZO�'G REVIE�BY: DATE�iPPROV�D: g - 2�-� <br /> BUILDIVG REVIE�BY: DATE APPROYED; 9-2.�-� - <br /> FEES TO BE CAARGED: Misc. Fees Calculated By: <br /> pERNIIT Yes ✓ No :. <br /> pLAN REVIEW Yes � No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEG"TION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYL�tG CH�CK LIST Zoning Districc: G2-/a <br /> Fire Department: V►�uo v n►✓J Post Office: rv�o.,� School District: t,•re s rv�l.�./� � <br /> Lot Area: Sq.ft. 3 t f,,,3 u S Acres .�Z � Width Depth <br /> Survey Submitted: Yes ,�. No Date of Survey: <br /> Proposed Setbacks: <br /> Front(La.ke): {Uv�. f` Rioh.t Side: � y-S_ <br /> � � <br /> Reaz(Street): ? � � r Left Side: /c�tl + <br /> Adjacent Structures: ,4�r-T7g-r�f�� Wetland: n//�' • <br /> Buildin,Height: Def. Hgt. c9•l� Peal:Hgt. c��� <br /> Lot Covera�e: /� /✓�- <br /> Gradino: Staff Approval Date: By: — Couacil Approval Date: <br /> Septic: Staff Approval Dace: — By: <br /> Zoning File: # 2 I Resolution: # Resolution Dace: . <br /> Shoreland District: nN <br /> Avg. Setback: Bluff Setback: LotCovera�e: <br /> E���o Proposed <br /> Hardcover. 0-75' <br /> 75-250' _---- <br /> zsasoo� --- <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Couacil Approval: <br /> gEI�LA.RKS(in house). <br /> 7 <br />