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. . • <br /> CHECK OFF LIST FOR TSSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: Z 33S ,s !�A�ow o�o D� <br /> PID: <br /> DESCRIPTION OF WORK: OccK <br /> ZOYI�IG REVIEW BY: DATE APPROVED: 7• b-o y <br /> BUII.DI�i 1G REVIE'4V BY: DATE APPROVED; � _6_ o�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes � No <br /> PLAN REVIEW Yes �' No SEWE.R CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CHE.CK LIST zoaing District: . <br /> Fire Department: Post Office: School District: � <br /> Loc Area: Sq.ft. Acres � Widch Depth <br /> Survey Submitted: Yes ( No Date of Survey: ON <br /> Proposed Setbacks: <br /> Front(Lake): �3�D� t Right Side: 3?,�� t <br /> Rear(Street): I 33� � Left Side: SU� <br /> Adjacent Structures: /�.-�-rr��l.�.e..� �Vetland: — <br /> Building Hei;ht: Def. Hgt. -- Peal:Hgt. — <br /> Lot Coveraoe: /U`-� <br /> Gradino: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: "— By: <br /> Zoning File: # Resolution: # Resolutioa Date: � <br /> Shoreland District: /`�v � <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-I000' <br /> Hazdcover Vaziance Required: Yes No Date of Couacil Approval: <br /> REMARKS(in house): <br /> 7 <br />