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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: o S�C� 5�X TI--i Av� fl�� <br /> PID: <br /> DESCRIPTION OF WORK: (�fi'�i: �- ��� __s��t.� o'��� �n��`'--------(-�'�r� �'�' �'T�� <br /> ;� r a <br /> -------------------------------------------------j--------------- ---------------- -------------------�- c <br /> ZONING REVIE�I BY: L DAT'E APPROVED: i -�' `► � <br /> BUILDING REVIEW BY: ,�,,,�,� DATE APPROVED: � - �r - y 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t./' No <br /> PLAN REVIEW Yes ✓� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �— No WATER CONNECTION <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: ��� <br /> Fire Department: �N�,��U-t' Past Office: �=7 (.�'✓�= School District: t��`��`�`' <br /> � _� <br /> Lot Area: Sq.ft. � �Z Acres r 9'- 5 ��' Width �r21�.�:(,u:�4-�C Depth — <br /> Survey Submitted: Yes 7; No Date of Survey: Un� �=t� <br /> Proposed Setbacks: , <br /> Front (La�: 3?0 � `�'= Right Side: �C�'v �_ <br /> Rear (�eet): ��Di � Left Side: ��� � <br /> Adjacent Structures: `�%� � Wetland: �S�� � <br /> Building Height: Def. Hgt. � •lL- Peak Hgt. — <br /> Lot Coverage: � �'� <br /> �� <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: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SJO-IOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />