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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?��N SAn✓Js�nr�.:. s�ti c= <br /> PID: <br /> DESCRIPTION OF WORK: NCw /!�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONINC� REVIEW BY: DATE APPROVED: �• ��-�y <br /> BUILDING REVIEW BY: DATE APPROVED: b -� �-�y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REV[EW Yes r/' No SEWER CONNECTION <br /> STATE SURCHARCTE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes ,c No SITE INSPECTION <br /> Number of SAC Units �1.. OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Departmeilt: Post Office: School District: <br /> Lot Area: Sy.ft. Acres Width Depth <br /> Survey Submitted: Yes .�.. No Date of Survey: �-� '�"1 <br /> Proposed Setbacics: <br /> Front (Lake): � Right Side: � <br /> Rear (Street): � Left Side: Z � <br /> Adjacent Structures: c� Wetland: 36` <br /> Building Height: Def. Hgt. Or<< Peak H�. — <br /> Lot Covera;e: � l� <br /> Grading: Staff Approval Date: C%� �� � ' °`f By: �v Council Approvai Date: <br /> Septic: Staff Approval Date: N/�'4 By: <br /> Zonin;File: # Resolution: # Resolution Date: <br /> Shoreland District: iv'c7 <br /> Avg. Setback: Bluff Setback: L o t C o v e r a g e : <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 />