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. � r 1 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZ�S ✓v o�z-rt+ sl-� a ru, �OF?. <br /> PID: <br /> DESCRIPTION OF WORK: �Zc w..o�,_.-z <br /> ZOrZ�tG REVIE`V BY: N I►� DATE APPROVED: <br /> BUII..D�1G REV�`V BY: DATE APPROVED: i z-L�r-0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAl�t REVIEW Yes ✓ No SEWER CO�INECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No �/ STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: N� G N AN G-e- - <br /> Fire Departmenr. Post Office: School District: � <br /> Lot Area: Sq.fc. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): L.eft Side: <br /> Adjacent Structures: Wetlan : <br /> Building Hei?ht: Def. Hgt. Peal:H t. <br /> L,ot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existin; I Proposed <br /> Hardcover: 0-75' <br /> 75-250' ; <br /> � <br /> 250-500' � <br /> 500-1000' ' <br /> � <br /> Hardcovec Variance Required: Yes No� Date of Council Approval: <br /> ; <br /> REv1ARKS (in house): <br /> 7 <br />