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� . <br /> . �� r <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�S ( S�f1,CL�� �(� <br /> PID: <br /> DESCRIPTION OF WORK: F'�N�S t+ 1'�,h,•e -5�7-tr� (3 y �;1�C C�,vc�?,�.�9 n <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �� DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: /<s—i 5--�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No �� SEWER CONNECTION <br /> STATE SUR:I�ARGL Yes l��No WATERCONNECTION <br /> INVESTIUA'I'ION FEE I'es No PARK FEE <br /> SAC Y,;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /'Uc� GE��✓� <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 Si e: <br /> Rear (Street): Left Sid : <br /> Adjacent Structures: Wetland: <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: f/ Resolution: # Resolution Date: <br /> Shoreland Dist`ict: <br /> Avg. Setback: Bluff Setback: Lot 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 /> 26 <br />