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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> r ADDRESS OR LEGAL: 2 I `a`� �1-4�4�b ltiJo o/� �oJ1�� <br /> PID: <br /> DESCRIPTION OF WORK: �t-lc��O <br /> ------------------------------------------------ --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /�- 9 - �i g <br /> BUILDING REVIEW BY: DATE APPROVED: (I-ci - 5�a <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes _�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO�iING CHECK LIST Zoning Disuict: �' ��-- <br /> Fire Department: M,�j�/,r�t/� Post Office: G�/3��t} School District: t.c.�5���✓� <br /> Lot Area: Sq.ft. /L�n G(ths��Acres Width Depth <br /> Survey Submitted: Yes No L Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Zn v Right Side: <br /> Rear (Street): �1�c7 Left Side: S� <br /> Adjacent Structures: � Wetland: <br /> Building Height: Def. Hgt. O - �� Peak Hgt. <br /> Lot Coverage: C�.� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot 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 /> 7 <br />