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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: .;;`; � �-� :�c,�c �����,ti, �;�.�� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> --------------------------------------- �-------------------------------------------------------------------------- <br /> �--- <br /> ZO'�ING REVIEW BY: "�, �'C����: DATE APPROVED: <br /> BLZLDING REVIEW BY: ' �' ��(��,.e� DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes X No <br /> PLA�' REVIEW Yes�_ No SEWER CONNECTION <br /> STA:'E SURCHARGE Yes X No WATERCONNECTION <br /> IN`��STIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO�iING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> L,ot 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 /> Building Heiaht: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: �� _ By: Council Approval Date: <br /> Septic: Staff Approval Date: i� By: <br /> Zoning File: # Resgl'ution: # Resolution Date: <br /> Shoreland District: �/ <br /> Avo. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75- 50' <br /> 25 -500' <br /> 5 0-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IARKS (in house): <br /> 7 <br />