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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AD�RESSORLEGAL: 3333 s�{O��c._�tiE, �Q2ivt� <br /> PID: <br /> DESCRIPTION OF WORK: �'IbNJ�6 cy <br /> _�w_ __ __��,_ <br /> - ------------------------------------------------------------- <br /> ZOr`Pi 1G REVIEW BY: -J---�- DATE APPROVED: �r •5 -a t <br /> BUII.DING REVIE`V BY: — DATE APPROVED: <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAi�T REVIEW ��r Yes �- No SEWF�CONNECTION <br /> STATE SURCHARGE.� � Yes � No �,;`Y�r�" ��twATER CONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z01��1G CH�CK LIST Zoning District: N• GI{�tiw�P <br /> Fire Department: Post Office: School District: <br /> Lo[Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Righ[Side: <br /> p-(� <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Hei;ht: Def. Hgt. Pe •Hgt. <br /> Lot CoveraJe: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: S:aff Approval Date: B : <br /> Zoning File: # Resolution: !� Resolution Date: <br /> Shoreland Distric[: <br /> Avg. Setback: Bluff Setback L.ot 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 /> REI�LARKS (in house): <br /> `` <br /> 7 �1 <br />