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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�7�c� S � L�-�.v i�c�J �L • <br /> PID: <br /> DESCRIPTION OF WORK: A�Q� n � <br /> ---------------------------------------- ------ - ------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: 6 • 2�7 -C3�c <br /> BUILDING REVIEW BY: DATE APPROVED: �- 2_7 -Do <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: !�/L -(� <br /> Fire Department: Gotirc� Post Office: �i✓ ce School District: U/��� <br /> Lot Area: Sq.ft. /� C(fs9-ri-y�Acres Width Depth <br /> Survey Submitted: Yes /� No Date of Survey: On� � CE.' <br /> Proposed Setbacks: <br /> Front (Lake): �0 � Right Side: �1C7 � � <br /> i � � <br /> Rear (Street): �b� Left Side: ( I 3 <br /> Adjacent Structures: F�-'r'�-U.� Wetland: /U (/a- <br /> Building Height: Def. Hgt. (��f C. Peal: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: (/V�V <br /> Avg. Setback: Bluff Setback: Lot 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 />