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` CHECK OFF LIST FOR ISSUAI�TCE OF PERMITS <br /> , FOR OFFICE USE O�LY <br /> ADDRESS OR LEGAL: -'��!`� �-t�_.��>s ,�. CL�-y �,I <br /> PID: <br /> DESCRIPTION OF WORK: �Q p� n o,�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: ��- � - g g <br /> BUILDING REVIEW BY: DAT`E APPROVED: �2-I -g g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERiV1IT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No `VATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> "LONING CHECK LIST Zoning District: Q2• (�4 <br /> Fire Departmenr. (,���,(,Q«,C' Post Office: �4��G School District: �lZ�l.Ja <br /> Lot Area: Sq.ft. 80,(��c7 Acres /.g S Width 2(00 Depth 31 O <br /> Survey Submitted: Yes� No Date of Survey: �-/=7 g <br /> Proposed Setbacks: � � <br /> Front (Lake): (3�- k Risht Side: , � <br /> Rear (Street): �n`i� � Left Side: 53� <br /> Adjacent Structures: � ��} Wetland: !v )�, <br /> Building Height: Def. Hgt. D•k- Peak Hgt. -- <br /> Lot Coverage: � �� <br /> Grading: Staff Approval Date: �J (� By: Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # N � Resolution: # -- Resolution Date: --- <br /> Shoreland District: Nv <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 7 <br />