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. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yi�✓�C? yy�',;p�;;;�(.1;(�,S -,�u;4� <br /> PID: <br /> DESCRIPTION OF WORK: G���?.�C.;� �,;� , r;e,v <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIE�I BY: � ,,,,.� DATE APPROVED: f �- 3 -�-j t <br /> BUILDING REVIEW BY: � , i. ,�,�_� DATE APPROVED: a Z- 3 -y� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �9 No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No ,�� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------=--------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> ��� Fire Department: Post Offce: School District: <br /> G�� Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: �(-2 5� g,(� <br /> Proposed Setbacks: i <br /> Front (Lake): �5� � Right Side: 3�' <br /> i F <br /> Rear (Street): �E�� � Left Side: 3� <br /> Adjacent Structures: l�Tl'A�+�� Wetland: � 3 5 � � <br /> Building Height: Def. Hgt. C� •� Peak Hgt. C>IG <br /> Lot Coverage: �4��� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �A� - Shoreland District: <br /> �•" Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SJO-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />