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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ,,� <br /> ADDRESS OR LEGAL: Z ���C, >� ��=��-.c�, c t�c- �,;�, �-_c,/l <br /> PID: <br /> DESCRIPTION OF WORK: �t�J Ll,� (Z�.,S <br /> --------------------------------------------------- ------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f 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 Umts � �6�L� J , �,�- �THER (specify) ____________________ <br /> -------------------------------------------------�-------- ���="--`----�'- ------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ C� No Date of Survey: $'���°� <br /> Proposed Setbacks: <br /> �t (Lake): I(o2.� Right Side: 10 •5 � <br /> Rear (Street): 1 b� Left Side: 11•l' <br /> Adjacent Structures: N 1/�+ Wetland: N (� <br /> Building Height: Def. Hgt. Z 1� Peal:Hgt. 32 <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: v Z S <br /> Avg. Setback: c�•�� Bluff Setback: n! (/� L.otCoverage: <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 />