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, ' CHECK O LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> .. ADDRESS OR LEGAL: z 5 . a S�A p v�oo� Za, IvP,V�4Yt,2c..� M N S�3� ) - <br /> PID: <br /> DESCRIPTION OF WORK: TZ�i�t0 D�-� -ti,vo G ,c� _ <br /> --------- --�------------------____------------------------------------------------ <br /> ZONING REVIEW BY: (� DATE APPROVED: <br /> BUII.,DING REVIEW BY: DATE APPROVED: �2S-o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Y�s �/ No <br /> PLAN REVIEW Yas No �/ SEWER CONNF.CITON <br /> STATE SURCHARGE Ye� �/' No WATERCOrf1VECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------*-------------- ---------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: N C� G H'�N��, -L <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acre�s Width Depth <br /> Survey Submitted: Yes �io Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Si . <br /> Rear(Street): Left Sid : <br /> Adjacent Structures: j etland: <br /> Building Height: Def. Hgt. _�_ Peak Hgt. <br /> Lot Coverage: '' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Reso ution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Se ack: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> I 7 <br />