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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 105o P(Z <br /> PID: <br /> DESCRIPTION OF WORK: 17.C.sT ova r'A G c_ <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; <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 WATER CONNECTION <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: NQ G Flse.( <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes pe-_ No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): « Right Side: O •(G <br /> Rear(Street): Left Side: <br /> Adjacent Structures: ,SSD '�' <br /> Wetland: A/ /�4 <br /> Building Height: Def. Hgt. 01 Peak Hgt. <br /> Lot Coverage: /l/14= <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 1 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 />