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' � CHECK OFF LIST FOR ISSUANCE OF PERi�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zp G p �� �c�-r{ tarttP ND• <br /> PID: <br /> DESCRIP'I'ION OF WORK: �'�,�p Q n ` <br /> ZO�i'G REVIE`� BY: � � DATE APPROVED: <br /> BUII.DPIG REVIE`V BY: „^ DATE APPROVED; (,- Zt --o v <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVIIT 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 /> ZOYL`�iG CH�CK LIST zoning Districr. (�V o G(..��tip _ . <br /> �l` <br /> Fire Department: Post O�ce: School Disuict: <br /> Lot Area: Sq.ft. Acres dth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Righ[Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: . <br /> Building Height: Def. H;t. Peal: gt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zouing File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Covera�e: <br /> Ezisting 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 /> REviARKS (in house): <br /> 7 <br />