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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . ADI�RESS OR LEGAL: Z53 S O s o►+�Ezs��r- L,a�.,t_ <br /> PID: ' <br /> DESCRIPTION OF WORK F,,,,,5,.� ��,,�z �,.�,� <br /> -------------------------------------------------------------------------•----------------------------------------------- <br /> ZONING REVIEW BY: � DATE A.PPROVED: <br /> BUILDING REVIEW BY.• „".__= DATE APPROVED: z-Z,.Y- o�{ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes ,�- No SEWER CONNECTION <br /> STATE SURCHARGE Yes ./ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: N� C/-f�4niJc.� <br /> Fire Depanment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted.• Yes No Date of Sccrvey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Si e: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl . <br /> Building Height: Def. Hgt. Peak Hg <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: / <br /> Avg.Set6ack: Bluff Setbac : Lot Coverage: <br /> EXIStilig Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required.• Yes o Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />