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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: 3ti 1 v No t2-�-t st�-odL� ,0[�., - <br /> PID: <br /> DESCRIPTION OF WORK: ,q-r,� <br /> ZONING REVIEW BY: DATE APPROVED: 9- t 3•�z. <br /> BUII�DING REVIEW BY: �V"/� DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No � SEWER COrfNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECB LIST zoning District: <br /> Fire Department: Post OfFice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: S'-l6-�a <br /> Proposed Setbacks: <br /> Front(Lake): �pp' +- Right Side: /5 � �' <br /> � <br /> Reaz(Street): /00 ` 'F'- Left Side: � ' fi <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: �I Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 0•� � <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house)s �- (2��a�. o� cx�a,�n� _�� rNt��,�+�, �ws <br /> 7jl/►!�Q blcl' i�p� ($d1��^O Ct�.�� <br /> 7 <br />