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y � . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR FFICE USE ONLY <br /> ADDRESS OR LEGAL: i (/ ��,���-2% �j�,� �. � <br /> PID: ,�� - �/�- � /3 � 6 03 <br /> DESCRIPTION OF WORK: �,��'�'��� -�,«.,�,1�---iZeB��u� r4 r=7Z�2 ' t�c� ��v 1=20�� <br /> _ � <br /> ----- -�==S=�sJ`-�==---(�_{���ST/N� .5�� <br /> ------------------------------------------------^^-------------- ----------- • <br /> ZONING REVIE� BY: -� � � �. ,� DATE APPROVED. rUl�4 <br /> BUILDING REVIEW BY: �_. � DAT`E APPROVED: .�-j / 4�7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v- 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> �ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Offce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Al t' Building Height: Def. Hgt. Peak Hgt. <br /> 1" <br /> Lot Coverage: <br /> I <br /> � Grading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By: <br /> I�' Zoning File: !# Resolution: # Resolution Date: <br /> I <br /> ' Shoreland District: <br /> ' Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> I Hardcover: 0-75' <br /> i 75-250' <br /> ! 250-500' <br /> I 500-1000' <br /> i <br /> � Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />