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.�=..—� <br /> * _� . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/1 ��! �� cS H�2c: /J/L <br /> PID: <br /> DESCRIPTION OF WORK: I�e c t�s �- c.o�•.s� cae.�►-e.� 1=�.v�s N .. <br /> ZONING REVIEW BY: , �. .,.., DATE APPROVED: Q- Z�.-o� <br /> BUII.DING REVIEW BY: v ,,� �_ DATE APPROVED: q-2�- o0 <br /> FEES TO BE CIiARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes v- No SEWER CONNECTION <br /> STATE SURCHARGE Yes ri No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE . <br /> SAC Yes No � SITEINSPECTION <br /> Number of 5AC�Units OTHER (specify) <br /> ZONING CHECB LIST Zoning District: N� c c�a��p <br /> e <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: Oa �c�.c: <br /> At4teS lJeu�S <br /> Proposed Setbacks: F'�'""r �ti �/�"''r 1�='� <br /> Front(Lake): �f� !S� Right Side: !�(0 ( (? <br /> � Rear(Street): �3 3L Left Side: �15� 'jS <br /> Adjacent Structures: �1-T�►-c.t�� Wetland: /`f//`� <br /> Building Height: Def. Hgt. N I�} Peak Hgt. — <br /> Lot Coverage: f1 IL <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /W <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />