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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � <br /> PID: �,, �µ,�> <br /> DESC ON OF WORK: �� � ��"" <br /> ZONING REVIEW BY: --�N--- DATE APPROVED: �G7 `� <br /> BUII..DING RE'VIEW BY: DAT'E APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: , <br /> PERNIIT Yes No _ r' <br /> pI,� gg�W Yes No �^" SEWF�CONNECTION � <br /> STATE SUR�HAI�Cr� Yes No� WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No� PARK FEE_� �)� <br /> SAC Yes No � SITEINSPECTION ' ,,- u��` <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoni.ng District: � _ <br /> Fire Departmenr Post Office: � School District: �F�/�L! <br /> Lot Area: Sq.ft.�� Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: ���(� <br /> Proposed Setbacks: a <br /> Front (Lake): . Right Side: <br /> Reaz(Street): Left Side: '"J <br /> Adjacent Structures: ..� � Wetland: �"�° ''��^'`� ��'"�� <br /> Building Height: Def. Hgt. � �;�� Peak Hgt. �� <br /> Lot Coverage: ' "I � <br /> Gradiag: Staff Approval Date: 3� `�� B • ouncil Approval Date• ��ZZ ��� <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # 2�� Resolution: # � (6 g Resolution Date: �— -j(�� <br /> Shoreland DisL-ict: . <br /> Avg. Setback: Bluff Setback: Lot Covenge: _ <br /> . Bxisting Proposed <br /> Hazdcover: 0-75' . <br /> 75-250' � <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> V� <br /> gE1�2ARKS(in house): — <br /> _–._________–._. <br /> l, 1��� <br /> . 26 . <br />