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, .. CHECK OFF LXST FOR ISSUANCE OF PERi1�IZTS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ Z']L O Pl�l e�q5�,,; (Le„e,D � <br /> PID: .�� /� 7- � ::� .� ._� ���c_� �J <br /> DES CRIPTTON OF WORK: sc�o-a.r. c,, 19 s��a. o u:�. c��z c sr-�nrc �..¢�C <br /> -----=-------------- `-' <br /> ------------------------------__ <br /> ZOYIiYG REV1Eti� BY: DATE APPROVED: � - 1 �-g P9 <br /> BULLDING REVIE�� BY. DATE APPROVED: f3.- r�-.Sy� <br /> � -----__---_-------------------------- <br /> FEES TO BE C�iARGED: � Misc. Fees Calculated By: <br /> PERMIT Yes � No ' <br /> PLAN REVIEW Yes —T/' No SEWER CONNECTION <br /> STATE SUR`HARG� Yes G- No ti�ATER CO�TNECITpN <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> -------��r---------------------- ----- <br /> ZONING CHECK LIST zoning Districc: l/Ul7 G G�Q <br /> Q - <br /> Fire Depa.rtment: Post Office: School District: <br /> I.ot Area: Sq.fr. Acres �Vidth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ Right Side: <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: tiVetl d: <br /> Building Heioht: Def. Hgt• Pe Hgt. <br /> Lot Coverage: <br /> Gradi.ng: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: g • • <br /> Zoning File: � Resolution: �# Resolution Date: • <br /> Shoreland Disc:ict: � � <br /> Avg. Setback: Bluff Setbac ; L,ot Coverage: <br /> ' Existing Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . � � <br /> 250-500' . <br /> SOQ-1000' <br /> . Hardcover Vaziance Required: Yes N Date of Council Approval: <br /> � � <br /> REl�Z4RKS (in house): � <br /> � - _ . . <br /> : "�� � 26 <br /> , �t�.. . . <br />