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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z S�S /�r n 2�c-� �t-t-at� �2�v�e <br /> PID: <br /> DESCRIPTION OF WORK: {2,�p A�,(i �s-ro Ct�va� �J�Avw�6` <br /> ZONING REVIEW BY:- c!� --- -~-------------------DATE APPROVED: !/ 3�-� <br /> BUILDING REVIEW BY: DATE APPROVED: (�•� 3 0 -� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION � <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: No <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right S de: <br /> Rear(Street): Left Sid : _ <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: � • By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: !i Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba k: I.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 2 <br />