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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS Zy l-�v 2 c�c3TZ Eve L Atmel-=. <br /> PID: — --- -- - <br /> DESCRIPTION OF WORK: o o <br /> ZONING REVIEW BY: &Cat;= DATE APPROVED: <br /> BUIILDhi IG REVIEW BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAIN REVIEW Yes_� No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <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 No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 12,0` 4. Right Side: 3W <br /> Rear(Street): )')(6 Left Side: 2-2-0 <br /> Adjacent Structures: 10' 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: <br /> Zoning File: # zq,3-2957 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): JZ&--s w-- n o-is sr6.�r ed <br /> 7 <br />