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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZO�tP1G REV�W BY: DATE APPROVED: <br /> BUII�DT'�i tG REV�W BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes No <br /> PLAI�i REVIEW Yes No SEWER CONNECITON <br /> STATE SURCHARGE Yes No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: <br /> L.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: �Vetland: <br /> Building Hei�ht: Def. Hgt. Pealc Hgt. <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: <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 /> REMARKS (in house): <br /> 7 <br />