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� � <br /> • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 31nO 2tO�ewo�✓� G�2Cr�.,C <br /> PID: <br /> DESCRIPTION OF WORK: �?�ww�e� <br /> - � . <br /> ---------------------------------------- -- ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 2- �c-o 3 <br /> BUII..DING REVIEW BY: DATE APPROVED: Z� y -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <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: NU Clfi9'�6 P <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Righc Si : <br /> Rear(Street): Left Sid <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak Hgt. <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 Set ck: L.ot Coverage: - <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />