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. , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z6�S /�Up27}� �s'�R,C /�/1, <br /> PID: <br /> DESCRIPTION OF WORK: oo �s.e - � - 'r <br /> ZO.�1Ni G REVIEW BY: DATE APPROVED: /l- i 8•0 2 <br /> BUII..DING REVIEW BY: DATE APPROVED; 1( -/� -u Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAN REVIEW Yes r/ No SEWER CONNECT'ION <br /> STATE SURCHARGE Yes� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI'fEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI�CK LIST Zoning District: �t0.,►2�9 �T/� pfl.r bir�- /{+�� s'� �� <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 Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: !� Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff etback: Lot Coverage: <br /> Exist g Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Couacil Approval: <br /> REMARKS(in house): <br /> 7 <br />