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:w � <br /> ._ . CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Y Z I S !V'o��/ s�aot,� D!L - <br /> PID• <br /> DESCRIPTION OF WORK: c:Z�2 ,� �c,s n�'d Q¢�.cc„ <br /> ZONING REV�W BY: DATE APPROVED: 7• 3 0 • � <br /> BUILDING REVIEW BY: DATE APPROVED: -�• 30•o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �- No WATER CONNECTION <br /> INVESTIGATION FEE Yes Na . PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTI�R (specify) <br /> ZONING CHECS LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes C No Date of Survey: p� �='�`r, <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): I.eft Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> � . <br /> � Grading: Staff Approval Date: By: Council Approval Date: <br /> (� Septic: Staff Approval Date: By: <br /> Zoning File: �i Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-5�' , <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />