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� . ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z.�ta(� �Q C3����J onf Vu oq� <br /> PID• <br /> DESCRIPTION OF WORK: 7'tw�,S C�..•� - CMn«r� w�,rr�` G-cd•/� <br /> --------------_----------------------- --- ----------------------------------------------------------------- <br /> ZONING REVIEW BY: (�_ DATE APPROVED: g-z3 -o z <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> ----------------�—_--_-------------------------«------------ ----------------y-- ------------------------- • <br /> FEES TO BE CHARGED: �v`'�'�" 1VIiscP�ees�Cal ulated B ��f <br /> PERMIT Yes � • No <br /> PLAN REVIEW Yes No SEWER COTfNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTTON <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: R�• �Q <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres . `�°� Width Depth <br /> Survey Submitted: Yes � No Date of Survey: $• 3•O� <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: ��Q,C 'z�oK��v� t't � <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: 9- Z3 � �'t- By: o�G_ Council Approval Date: $'26•"Z <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # o� •Z�Q� Resolution: # Resolution Date: ${•26 •o Z- <br /> Shoreland District: /�//t- <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />