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03/29' <br /> At, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS 21a *-H O R d 0 GH <br /> PID: // 00/ <br /> DESCRIPTION OF WORK: (3 A s&vv a ` C-7wt-St+ <br /> ------------------------------------------ ----- -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /(- <br /> BUILDING REVIEW BY: DATE APPROVED: /)•Z Y-f�' <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: / O C f-h"t <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres rDate <br /> Depth <br /> Survey Submitted: Yes No f Surrey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. Pe . Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: <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): <br /> 7 <br />