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r' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 2-430 T H 02 U UCS"Q j,--V (,-&rJF <br /> PID: <br /> DESCRIPTION OF WORK: ASR w�7� F�nt.c N <br /> ----------------------- ----- -------------------------------------------------------- - ----- <br /> ZONING REVIEW BY: DATE APPROVED: 3-I <br /> BUILDING REVIEW BY: DATE APPROVED: -r - <br /> �--------------__--_---_---- <br /> --------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes t-- No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER(specify) <br /> -e--�---_ --_---a---------------------------------------------------M----------------------------- <br /> ZONING CHECK LIST Zoning District: /!X:) G <br /> Fire Department: Post Office: School District: <br /> Lot 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 Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B3: Council Approval Date: <br /> Septic: Staff Approval Date: B3: <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 /> REMARKS(in house): t'Cllr VS 'PC (Z l 6 1 N 4< 0&t P 5 <br /> N F► l�C. <br /> 7 <br />