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. , • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: Zz�.S v11o2n-� �SN-�� �• <br /> PID: <br /> DESCRIPT'ION OF WORK: �/v'71�p�� !il�t�►.�� ,,,,.�,..�'�S <br /> ZO,v1�1i G REV�W BY: ��------------DATE APPROVED: ---�--�d '6 SN-- <br /> BUII�DIl�G REVIE�V BY: iv<.�- DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c� No <br /> PLAN REVIEW � Yes � No SEWF1t CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�VG CH�CK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sc.ft. Acres Width Depch <br /> Survey Submitted: Yes_� No Date of Survey: oN �� <br /> Proposed Setbacks: <br /> Front(Lake): I o p` i- Right Side: f oo� �- <br /> Rear (Street): � o o� '�" Left Side: ) 0 v` �4- <br /> Adjacent Structures: _ � o o� '� Wetland: �•�L <br /> Building Heiaht: Def. Hgt. �i.i l/� Peal:Hgt. <br /> Lot Covera�e: � <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: (� .`L <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> Existin� Proposed <br /> Hazdcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � <br />