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, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: %�:-� � � ���,�:��::>." r ;_,.���� <br /> PID: <br /> DESCRIP'TION OF WORK: ti��c�i ,�: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � ^ DATE APPROVED: ^_ -�� -- % • <br /> BUILDING REVIEW BY: DATE APPROVED: �:- - - <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECITON <br /> STATE SUR`I�ARGE Yes No WATER CONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �;;_- ,i' <br /> Fire Department: ;' � �., ,',`�, r: Post Office: /�,,c_� ��(,:-c: School District: �� �.� ,' � <br /> , <br /> Lot Area: Sq.ft. ;� S'„� : Acres r:-�.j Width ;��,:..�=���.t•� Depth <br /> Survey Submitted: Yes No Date of Survey: - - <br /> Proposed Setbacks: <br /> Front (Lake): �;�. `{'` Right Side: 2 c�� '� <br /> Rear (Street): � ;- `f R . Left Side: <br /> Adjacent Structures: �1 i i+ Wetland: r� .:} <br /> Building Height: Def. Hgt. !`t � Peak Hgt. �'.i;,� <br /> Lot Coverage: r-�; <br /> Grading: Staff Approval Date: _1- I�l- `t ? By: „��'�U, ouncil Approval Date: /v';",�- <br /> Septic: Staff Approval Date: �� By: � <br /> ' Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> j Hardcover: 0-75' <br /> N•�`1� �5-25�� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />