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. . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: t 3 43f� /UORTt� A2N'� �J2 <br /> PID: <br /> DESCRIPTION OF WORK: �fL �r�,(.{.��J lZC:r►^�oO�.Z— <br /> ZOVLIIG REVIE�V BY: DATE APPROVED: p�/� <br /> BUILD�IG REVIE`V BY: DAT'E APPROVID; i- � -o�y <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAi�t REVIEW Yes t/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> Z01�1PiG CH�CK LIST Zoning District: fv'� C �f7'4r�C� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �Vetl . <br /> Building Hei�ht: Def. Hgt. Peal: t. <br /> L,ot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existina Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: � <br /> RENIARKS (in house): <br /> 7 <br />