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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S�e7 rU s/'J <br /> � PID: <br /> DESCRIPTION OF WORK: /.c�,.�oo ws,� �/J..v�s <br /> ZONNG REV�W BY: N/✓�- DATE APPROVED: <br /> BUILDING REVIEW BY: ^�/,�l' �,,,,.� . DATE APPROVED: 9• �o-0 5- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEV� /VA� Yes � No ✓ SEWF.R CONNECTTON <br /> E SURCH�GE Yes No WATII2 CONNECTION <br /> STAT _� <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOI�TI�IG CH�CK LIST Zoning District: i(10 Gt��v�P <br /> ,J <br /> Fire Department: Post Offic School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Ri ide: <br /> Rear(Street): eft Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera;e: <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 S tback: L.ot Coverage: <br /> Existin Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> Sa0-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> � <br />