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, , ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �39 S /�o/L n� .s�'�`u: /�'�, . <br /> PID: <br /> DESCRIPTION OF WORK: - -r� �4 <br /> ZO�TG REY��V BY: DAT'E APPROVED: 9 - �6 -o y <br /> BUILDP�IG REY�'4V BY: DATE APPROVED; �r- r� -oT- <br /> FEES TO SE CHARGED: Misc. Fees Calculated By: <br /> PER11�1IT Yes � No <br /> PL?,l�t REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATF�CONNECi'LON <br /> INVESTIGATION FEE • Yes No P�1RK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CHE.CK LIST Zoning District: �. <br /> Fire Department: � Post Off'ice: School District: • <br /> Lot Area: Sq�.ft. Acres ' Width Dep[h <br /> Survey Submitted: Yes No�_ Date of Survey: <br /> U 51 N� S�R•vG�,� e,�c�r�oc� . <br /> Proposed Setbacks: � ' <br /> Front(Lake): 'Z�� � '�= Right Side: ""Ip � r � <br /> Reu(Street): SZ'+ Left Side: (�'1�� r <br /> Adjacent Structures: !o a� + Wetlaad: N 1� . <br /> Building Hei�b.t: Def. Hgt. D�K- Peal:Hgt. — " <br /> Lot Coveraoe: o•)C <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: i BY� <br /> Zoning File: # �' Resoludon: # Resolution Date: _ � <br /> Shoreland District: �/1P� <br /> Avg. Setback: F o��c Bluff Setback: ,I.� (.j°E Lot Coverage: <br /> . Existing Proposed <br /> Hazdcover: 0-75' . <br /> 75-750' t�.y1 • <br /> 250-500' -- <br /> 500-1OQ0' <br /> Hardcover Variance Required: Yes No�_ Date of Councit Approval: <br /> RE1�2p�RSS(in house): <br /> 7 <br />