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` � CHECK OFF LIST FOR ISSUANCE OF PER11�I'I'S <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: z-t c�s pt-�-�+ s�T �t..�A/� <br /> PID: <br /> DESCRIPI'ION OF WORK: C�A tZ�A�` A�p� T � c�N <br /> , . <br /> ZO�'G REV�W BY: p� r DATE APPROVED: 8-r -d� <br /> BUII�DI1�iG REY�W BY: DATE APPROVED: g-( -d� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes f No ;, <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONL�iG CH�CK LIST Zoning District: LR-�!� <br /> Fire Department: �e�,�t�p Post O�ce: G�cec.¢�a R School District: IM p v N� <br /> LotArea: Sq.ft. 31�Sa3 Acres •��32- Width 132.65 Depth 23'7•�I`� A�G <br /> Survey Submitted: Yes_� No Date of Survey: S -i 7 ``�5 <br /> Proposed Setbacks: � <br /> Front(Lake): 91.5 � Right Side: I�� '�' <br /> Reaz(Street): 121' � I.eft Side: l l�b' + <br /> Adjacent Structures: p-�-puc.H E�p Wetland: N((� . <br /> Building Height: Def. Hgc. __p.IL Peak Hgt. b.IC. <br /> Lot Coverage: D.k.. <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Da[e: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: ��p S <br /> Avg. Setback: N�_ Bluff Setback: /V pr Lot Coverage: — <br /> Eusting 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 /> REbIARKS(in house): <br /> 7 <br />