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CHECK OFF LIST FOR ISSUANCE OF PERINI RTS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: m wo CLLi s wt, aA%4 ( oA 6 <br /> PID: <br /> DESCRIPTION OF WORK: Zte"Kyo t.. sp^ca (,.-jTv VJAA;', Q g t 4 <br /> ZONING REVIEW BY: N/A- DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: G -!5 --&J <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes G'' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No cr SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: No r_/212Y4eke <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres tte <br /> Depth <br /> Survey Submitted: Yes No f Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side. <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak H <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbacktw <br /> Lot Coverage: <br /> ExistingProposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes NoDate of Council Approval: <br /> REMARKS Cm house): o w hs o rad n. s o r- cam✓ <br /> 7 <br />