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, ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 2Z 2.�1 5t-�s��..�w•�o✓� i�•� <br /> PID: <br /> DESCRIPTION OF WORK: M�w (Z�o� srR,�c r-v n.� <br /> ZO��Ti TG REVIEW BY: DATE APPROVED: Z-z s'-oZ <br /> BUII.DING REVIEW BY: DATE APPROVED: Z-t s-o z <br /> ____ _��� * � _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes J No SEWER CONNE�TION <br /> STATE SURCHARGE Yes �' No WATERCONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: lv o cr�G� <br /> Fire Department: Post Office: 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 /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> c:x�sT�� ���5 <br /> �.Ic <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Re olution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hudcover: 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 /> 7 <br />