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� � . <br /> � CHECK OFF LIST FOR ISSUAri CE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3c�Z� �N��T�� � �o��: �Ri c�P <br /> PID: <br /> DESCRIPTION OF WORK: Ln�rr"Z•�?,�-t/>�✓r�°-�� � � _ <br /> -------------- --------- <br /> ZOi�tING REVIEW BY: DATE APPROVID: �- g-� <br /> BUII.DING REVIEW BY: DATE APPROVED: S ~9- `�c• <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No t/' PARK FEE <br /> SAC Yes No � STTE INSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- <br /> ZONING CHECK LIST Zoning District: �2'�� Shoreland District : ��GS <br /> Fire Department: .v Gf-i� Post Office: ��r,� School District: p/Lc��t/� <br /> Lot Area: Sq.ft. NU Acres G�-f'�'�'"��Width -- Depth — <br /> Survey Submitted: Yes �_ No Date of Survey: O�v r=�� f -�-`l 'f <br /> Proposed Setbacks: <br /> �t (Lake): 2� � Right Side: N�'4 <br /> � (Street): �� Left Side: /�//3 <br /> Adjacent Structures: f}�r'�'I u�� Wetland: N(/� <br /> �� Building Height: Def. Hgt. c9• k- Peak H;t. O.IG <br /> Avg. Setback: N <br /> ��' Bluff Setback: N�� Lot Coverage: ��� <br /> Existing Prop��ed <br /> Hardcover: 0-75 e' <br /> 75-250' �•l�- `n�`�`� ,L S`�o <br /> 250-500' /v�" z ��� <br /> 500-1000' �j� �� <br /> Hardcover Variance Required: Yes No o� Date of Council Approval: <br /> Grading: Staff Approval Date: /✓/�' By: ''' Council Approval Date: —' <br /> Septic: Staff Approval Date: ���" BY� <br /> Zoning File: /# Resolution: # 'T Resolution Date: � <br /> P�:MARKS (in house): <br />