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, . • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �pt-I 1 vV o 2T�t .S t�o cu: '�R � <br /> PID: <br /> DESCRIPTION OF WORK: 1'�= 'P���e .�..�,o�n..o.J un,�at. c.�r-� <br /> ;�--------------------------------------------=------------o____ <br /> ZO�IG REVIE�� BY: I,y-�..— DATE APPROVED: � -3 - Y <br /> BLTII,DTivG REYIE`Y BY: Z DATE APPROVED: $ -3 -o� <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAIV REVIEW Yes • Na c/ SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SI'TEINSPECTION <br /> Number of SAC�Units OTHER (specify} <br /> ZOivING CHE.CK LIST zoning District: � c!��',.? <br /> Fire Department: Post O e: School District: • <br /> Lot Area: Sq�.ft. Acres ' Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � � <br /> Front(Lake): Right Side: <br /> Reaz(Sueet): Left Side: <br /> Adjacent Structures: `Vet! d: , <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Agproval Date: By: <br /> Zoning File: # Resolution: # Resolutioa Date: � <br /> Shoreland District: � <br /> Avg. Setback: Bluff S tback: Lot Coverage: <br /> Existin Proposed <br /> Hardcover: 0-75' <br /> 75-250' ' <br /> 25d-500` <br /> 500-2000' <br /> Hazdcover Variaace Required: Yes o Date of Council Approval: <br /> REl�'LA.RKS(in house): <br /> 7 <br />