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f CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK- <br /> ------------------------------ -------- <br /> ---_-- REVIEW BY: C DA'Z'E APPROVED: 0011 I U� <br /> ZONING RE <br /> BUILDING REVIEW BY: DATE APPROVED: G r 9 7 <br /> ---=---------- a ---- ---------------------------=------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes —7 No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No r SITEINSPECTION <br /> Number of SAC-Urdts OTHER (specify) <br /> ------------------------------------------ / <br /> ZONI L G CHECK LIST Zoning District: _ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq-ft- �11 _ <br /> Acres �i' 7i� Width �J� Depth <br /> Survey Submitted: Yes No� Date of Survey: --� <br /> • ����rDi� �-p�0'2� <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def, Hgt, Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: wC� <br /> Zoning File: # Resolution: # Resolution Date: <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 /> F.E L-ARKS (in houe): <br />