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C�CK flFF LiST FOR iSSUANCE OF PEitMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRFSS OR LEGAL: (�j�p 5 i x T,� A►"-e No. <br /> PID: • <br /> DESCRIPTION OF WORK: ( snwe�. �v e� ��rv�s �t <br /> ZO�1TtG REV��V BY: DATE APPROVED: <br /> BUII..DING REVIEW BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes �/ No SEVVER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOI�tING CH�CK LIST Zoniag District: /(1rJ GN?4/u6 E� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid <br /> Rear(Sueet): Left de: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak 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: <br /> Avg. Setback: luff Setback: L.ot Coverage: <br /> usting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REVIARKS (in house): <br /> 7 <br />