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. � - <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3g z S VU o�ZT1� sl-}o�'� �2 <br /> PID: <br /> DESCRIPTION OF WORK: c2L.(-'�c.c s��5 �=w�0��0 i0/�o <br /> Z01TING REVIEW BY: DATE APPROVED: �- -Z-c�t <br /> BUII�DING REVIEW BY: DATE APPROVED: -� . �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pI,AN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATF12 CONNECTTON <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No �� STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti'ING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Nc7 <br /> Lot Area: Sq.ft. Acres Widrh DeP� G� <br /> Survey Submitted: Yes C No Date of Survey: o� � <br /> Proposed Setbacks: <br /> Front(Lake): 7�� �" Right Side: ��� <br /> Rear(Street): y 1 � + Left Side: $�� <br /> Adjacent Structures: ,a�a,F.P� 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: �-Cl <br /> Av;. Setback: h%4- Bluff Secback:--- Lot Coverage: — <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' v-(L <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No�_ Date of Council Approval: <br /> REivI,ARI�S(in house): <br /> 7 <br />