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. . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/gd �'�s�c.x c AN G <br /> PID: . <br /> DESCRIPTION OF WORK: C26 d� <br /> ------------------------------------------------ ----------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 5 -�7.�Z. <br /> BUILDING REVIEW BY: .,,._._ DATE APPROVED: _ S• �-1-o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WA'TER CONNECTTON <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 Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes c. No Date of Survey: �• 2�!- 00 <br /> Proposed Setbacks: <br /> Front (Lake): Z1 t�� � Right Side: Z�` <br /> Rear (Street): 2'�[5 � y Left Side: 3t�0 � <br /> Adjacent Structures: (v�� Wetland: C D U� + <br /> Building Height: Def. Hgt. —"- Peal:Hgt. —' <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � � Zoning File: # Resolution: # Resolution Date: <br /> N' <br /> Shoreland District: <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 />