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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�v�� �ifi�-�'��� �.:C::•:� i�..,�„� <br /> PID: <br /> DESCRIP'I'ION OF WORK: ��-r��. i 2.�.`�-�-�.:�� <br /> ZONING REVIEW BY: �vy'� DATE APPROVED: <br /> BUII,DING REV�W BY: , „ l,� _ DA'ITE APPROVED: � I�t -i ) <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �` No <br /> PLAN REVIEW Yes '-�' No SEWER CONNECTION <br /> STATE SUR�HARG�. Yes t--�" No WATER CONNECITON <br /> INVESTIGA'I'ION-�EE Yes No �--� PARK FEE <br /> SAC Yes No �-- SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: 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): Lefr Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> �� �. � Lot Coverage: <br /> I" <br /> � Grading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By: <br /> � Zoning FIle: # Resolution: # Resolution Date: � <br /> o . <br /> � <br /> Shoreland DisLict: <br /> Avg. Setback: Bluff Setback: I,ot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> � 75-250' � � <br /> s 250-500' - . <br /> �� 500-1000' <br /> ; Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . � <br /> RE1�24RKS (in house): <br /> • 26 . <br />