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� . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: ��Q?� St-�o i�.c-.�.�-� �(� _ <br /> PID: <br /> DESCRIPTION OF WORK: � .v s a <br /> ZOVL�TG REVIEW BY: DATE APPROVED: /�•�o-0� <br /> BUII.DING REVIEW B _ /VGr,4 DATE APPRUVED; <br /> FEES TO BE CHARGED: ��'�isc�Fees�u�ed B�� <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes No SEWER CONNECITON <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> IlWESTIGATION FEE Yes No PARK FEE <br /> � <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> _ ______________ _--------------------_�___________ <br /> ZONING CH�CK LIST Zoning District: /Y� ��-f79Y�l� <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(Sueet): Left Side: <br /> Adjacent Structures: Wetl <br /> Building Height: Def. Hgt. Peal: gt. <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 Disuict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' � <br /> 250-500' ; <br /> 500-1000' � <br /> I <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> � <br /> � <br />