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i`1�y�s�1 <br /> ., �. �� CHECK OFF LIST FOR ISSUA��ICE OF PERMITS <br /> C�� , FOR OFFICE USE ONLY <br /> ` ADDRESS ORLEGAL: 25�5 ruofz7-+ af,o� /�/�i v2 <br /> PID: <br /> DESCRIPTION OF WORK: /Yr a�c: s«� <br /> - -______��_-- - ---- <br /> ZOr11i TG REV�W BY: C�..�- -------------DATE APPROVED: 9-i�-�� <br /> BUII.DI�i 1G REVIE`V BY: DATE APPROVID: 4'-r�g-ot <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z01�1IYG CI�CK LIST zoning Discricc: <br /> Na <br /> G}��Nc�t Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes �C IVo Date of Survey: G ` Z o- �t <br /> Proposed Setbacks: <br /> �Frest (Lake): 132,' �- Right Side: Iv� <br /> �ear (Street): �bo = Left Side: J`�7�� <br /> Adjacent Structures: ��' Wedand: 0.i� Zb� <br /> Building Hei�ht: Def. Hgt. O �(� Peal:Hgt. C�.1�. <br /> Lot Covera;e: (>,(� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: 1# � Resolution: # Resolution Date: <br /> Shoreland District: y�s <br /> Avg. Setback: �rj�- Bluff Setback: ��1`" Lo[Covera�e: �•(� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �O C 1-Fi4TlCyQ <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council �_?roval: <br /> REMARKS (in h0use): <br /> 7 <br />