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r , , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: Z�{b s ivo2� stte� �(,� <br /> PID: <br /> DESCRIPTION OF WORK: „/ �L cc�so c�t,vtt� <br /> ZO.�TPTi G REVIEW BY: DATE APPROVED: 9-�2�°�- <br /> BUII.,DING REVIEW B : UATE APPROVED; 9.�z.--oz. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAN REVIEW Yes _,� No SEWFR CONNECTION <br /> STATE SURCHARGE Yes _�/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post O�ce: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�c_ No Date of Survey: •Z 3'9 O <br /> Proposed Setbacks: <br /> firent(Lake): 2 2 S ' Right Side: �2 � <br /> R�e�r(Sueet): Z 3K� Left Side: 31� <br /> Adjacent Structures: �7� f' Wetland: /V J�A- <br /> Building Height: Def. Hgt. __��s�,vy Peak Hgt. <br /> L.ot Coverage: � J/f <br /> Grading: Staff Approval Date: �tJ J,� By: Council Approval Date: <br /> Septic: Staff Approval Date: N//s By: • <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �f.�5 <br /> Avg. Setback: N//i- Bluff Setback: .✓ �/� Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' �.r�' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />