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• . , � <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /7`� 9 /Uvi2 n�f ,=�9 iz.rn �Z�/�-� <br /> PID: <br /> DESCRIPTION OF yVORK: Qws�u-�'O aw C��•c� <br /> ZONING RE VIE W B Y:cf�,�[o�--------------�r-------DATE APPRO YED:_7-L�-�Y <br /> BUILDING REVIEW BY� N�� DATEAPPROVED: <br /> -------------------- <br /> FEES TO BE CHARGED: Nlisc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �/ No SEWER CONIVECTION <br /> STATE SURCHARGE Yes_� No WATER COMVECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Na�mber of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoxing Dismict: � <br /> Fire Deparhnent: Post Office: School Dist�•ict: <br /> Got Ar•ea: Sq.ft. Acres Widtl: Depth <br /> Survey Subrnitted: Yes� No Date of Scavey: a�" 1=�t.0 <br /> Proposed Setbacks: , <br /> F�-ont(Lake): �� Riglit Side: �� <br /> � � <br /> Rear(Sh•eet): Z�V � Left Sic{e: 3 v <br /> Adjacent Su•uctures: fe0� 6Yetic�nd.• <br /> Builcling Height: Def. Hgt. -- Peak Kgt. <br /> Lot Coverc�ge: �" <br /> Gi•acfing: Staf)`'Approval Date: � By: Coz�ncil Approval Date: <br /> Septic: Sraff�(pproval Date: 7 -2�' '-�"l BY. �^'�-�' <br /> �!� Zoni�zg File: # Resolution: # Resolution Date: <br /> Shoreland Disd•ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Harcicover: 0-75' <br /> 75-250' <br /> 150-500' <br /> 500-!000' <br /> Kardcover• variance Reqa�i�•ed: Yes No Date of Courscil Approval.• <br /> REMARKS(in house): <br /> 31 <br />