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. . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2y 3 o Nart.r� S/tW�, �2 - <br /> PID: <br /> DESCRIPTION OF WORK: �Ast�+�v� /4+a�� �� d ^� <br /> ZONING REVIEW BY: DATE APPROVED: 7•t�- g 9 <br /> BTJII.DING REV�W BY: DATE APPROVED: 7- Z�- 4'g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ci No <br /> PLAN REVIEW Yes �' No SEWER COrfNEC."IZON <br /> STATE SURCHARGE Yes � No WATERCOrfNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: /�2- /� <br /> Fire Department: ��S � Post Office: (��� School District: !J�"�' <br /> Lot Area: Sq.ft. /W C�fi�'� C�Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: a..� /=�� <br /> Proposed Setbacks: <br /> Front(Lake): �/Uo � 'F' Right Side: /U O � '�" <br /> Rear(Street): Yu,� '� Left Side: Zbb� '� <br /> Adjacent Structures: fv` 'ro rPi++^"f Wetland: N/� <br /> �� <br /> Building Height: Def. Hgt. o•1� Peak Hgt. G.I e <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: /� �►a By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />