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• CHECK OFF LIST FOR ISSUANCE OF PERiiNUTS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3164 0 titp(t'i1•��N ,r4y <br /> PID: <br /> DESCRIPTION OFWORK:. _ aMoj -- Zrwca Cy1 a C.y't UVA--JA u <br /> ZONING REVIEW BY: DATE APPROVED: -7-Z9 -fid <br /> BUILD]TG REVIEW BY: At/ . DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V`0� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> ,,Fire Department: Post Office: 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: S t <br /> Rear(Street): Left Side: too <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. — r <br /> Lot Coverage: <br /> Grading: Staff Approval Date: o+b By; .®. Council Approval Date: -� <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution:# Resolution Date: <br /> Shoreland Dist-ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0 75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMAM(in house): <br /> ' 26 <br />