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' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 2�f 62 SqM,ps�N�: �.vc: � <br /> PID: <br /> DESCRIPTION OF WORK: /Vc"� `� <br /> Z0�1G REVIEW BY: DATE APPROVED: 9-S-�3 <br /> BI.TII.DI1i TG REVIEW BY: DATE APPROVID: 9 - �=�3� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes ✓ No <br /> PLAi�T REVIEW Yes `�' No SEWF.R CONNEG"ITON <br /> STATE SURCHARGE Yes� No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No � PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC�Units __� OTHER (specify) <br /> ZOh1�i 1G CHE.CK LIST Zoning District: <br /> Fire Department: � Post Office: School District: • � <br /> Lot Area: Sq�.ft. Acres ' Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: `t'-3-�'3 <br /> Proposed Setbacks: � <br /> � , <br /> Front(Lake): � Right Side: Z <br /> Rear(Street): U Left Side: d <br /> Adjacent Structures: C' Wedand: �/� . <br /> Building Height: Def. Hgt. C�, IL Peal:Hgt. <br /> Lot Coverage: �,✓/f� <br /> Grading: Staff Approval Date: /�//� By: Council Approval Date: <br /> Septic: Staff Approval Date: /�///�- By: <br /> Zoning File: # � Resolution: # Resolution Date: � <br /> Shoreland District: /V� <br /> Avg. Setback: Bluff Setback: I.ot 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 App.oval: <br /> REl�'LARKS(in house): �-P 2�-r b o S�bv✓�si�� (,4s�,a �-0 2 ,�Ub^i�' -- <br /> � . . . <br />