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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' ' FOR OFFICE USE ONLY <br /> � ADDRESSORLEGAL: 2335 s�+,�dowo�✓� �2 <br /> PID: <br /> DESCRIPTION OF WORK: Q qs�n.��.,T �N�s� <br /> Z0�1ING REV�W BY: � N M ~ DATE APPROVED: �I- i i -No Z <br /> BUII.DING REVIEW BY: DATE APPROVED; y- �t - o Z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes v No SEWF1t CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No .�- PARK FEE <br /> SAC Yes No � SIT'EINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST zoning Districc: Nv c�4,.�5.P <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq-.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 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 />