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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�5� 5!-f�wt�t.�� f�J(t . <br /> PID: <br /> DESCRIPTION OF WORK: wn,�.. d ,�.�ti �a (Len�a� w�( �0 �d <br /> _____--------------------------------------------------- -- - �G�i'�i� <br /> ZOVPIG REVIEW BY: � DATE APPROVED: <br /> BUII�DING REVIEW BY: � DATE APPROVED; S-Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLA��1 REVIEW Yes No c� SEWER CONNEG"ITON <br /> STATE SURCHARGE Yes �� No WATE�CONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> - ---�_______ ______�-------------------------------------------------------- <br /> ZONING CHECK LIST zoning Dismcr � G�`��'�bG� <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes Date of Survey: <br /> Proposed Setbacks: � <br /> Front(Lake): Ri t Side: <br /> Rear(Street): L.eft e: <br /> Adjacent Structures: � etland: <br /> Building Height: Def. Hgt. Pe •Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Blu Setback: L,ot Covenge: <br /> Eu in; Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS(in house): � <br /> 7 <br />