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. . <br /> , CHECK OFF i.IST FOR iSSUANCE 4F �ERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS ORLEGAL: Z�Cd3 �V02� s(-to� Dfz • <br /> PID: <br /> ` DESCRIPTION OF WORK: �2�wwb�. <br /> ---------------- - - --`-�_---------------------------------------------:--- -------------- <br /> ZO�t .Pi tG REVIEW BY: C51.tn,�.-_ _ DATE APPROVED• ��-�i-0 6 <br /> SUII�DING REVIEtiY BY: DATE APPROVED; �3• 4. o� <br /> FEES TO BE CI�A.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes � No SEWF.R CO�INECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�YG CIi�CK LIST Zoning District: v�� c <br /> Fire Deparcment: 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 de: <br /> Rear (Street): Left ide: <br /> Adjacent Structures: Wetland: <br /> Buildin, Height: Def. Hgt. Peak Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Set ack: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> �E`�iA.RKS (in house): <br /> � <br />