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�. � — <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y0 �'I'Y\ �T1-� /�V L � <br /> PID: <br /> DESCRIPTION OF WORK: �.�,U�S <br /> ----------------------------------------- -------- ----------------------------------=----------------------------- <br /> ZONING REV�W BY: � DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <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 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: GZ 2- 13 <br /> Fire Department: !� Post Office: �' School District: Ur�NO <br /> Lot Area: Sq.ft. d Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: p�.a t-C �� l I•7- 7 S1 <br /> Proposed Setbacks: <br /> Front(Lake): �� '� Right Side: 6 0 � 'i"- <br /> Rear(Street): 3Zo f Left Side: � �j(� � f' <br /> Adjacent Structures: �}T�(�-tt_,� Wetland: N � � <br /> Building Height: Def. Hgt. N 1 /Q Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � <br /> � Zoning File: # Resolution: # Resolution Date: . . <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />