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� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , • FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: �Z t$0 /�ro2'h4 �'�-�vt�:. �(J�2._ <br /> PID: <br /> DESCRIPTION OF WORK: �?�-w�-��c. �-�.ss �R•ed� s;0�c�t. <br /> ZONING REVIEW BY: N�� DATE APPROVED: <br /> BUII�DING REVIEW BY: DATE APPROVED: 8�-,2_�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes —� No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti7.NG CHECK LIST Zoning Districc: �vo c t-�t,ti5 p <br /> Fire Department: Post Office: School District: <br />� Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: � <br /> Adjacent Structures: Wetl . <br /> Building Height: Def. Hgt. Peak t. <br /> Lot Coveraae: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoni.ng File: # Resolution: # Resolution Date: . . . <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REI�ZARKS (in house): '. <br /> 7 � <br />