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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFI USE ONLY ,� <br /> ADDRESS OR LEGAL: � ^ �� �J�--�� <br /> PID: <br /> DESCRIPTION OF WORK: LAQ �Z,�n�oc� <br /> ------------------------------------------------------------------------------------------------------------------ <br /> Z0�1G REVIEW BY: DATE APPROVED: l Z-Z(• 9�3 <br /> BUILDING REVIEW BY: DATE APPROVED; (Z-Z� •y'� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes _�G No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATElt CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CH�CK LIST Zoning District: /v o Gl�N��� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.fr. 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: W tland: <br /> Building Height: Def. Hgt. Pe • Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : L.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 Approval: <br /> REMARKS (in house): <br />