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, � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31 Z.O IUp tZT}�S}t0 i?.� �D R <br /> PID: <br /> DESCRIPTION OF WORK: �jv o�02 od\ <br /> ZOr�1 G REV�W BY: DATE APPROVED: Q� -22-n� <br /> BUILDI�i tG REVIEW BY: DAT'E APPROVED; � -z 2---�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�' No <br /> PLAi�1 REVIEW Yes r� No SEWER CONNECITON <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 /> ZONING CH�CK LIST zoning Districc: No c N�1rf�•,�2 .�- <br /> Fire Department: Post Office: School District: <br /> Lo[Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <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 /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> '75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): �- pa o I � i n�s t!� Ex�STtr��., l��[.D6 ��IrLU JC� <br /> 0�Y 0/U'�.�L�5 Q�6 �L�2aM �'� f <br /> 7 <br />