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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �y —( Oft I��- <br /> PID: <br /> DESCRIPTION OF WORK: IA <br /> ZONING REVIEW BY: _ — --------------DATE APPROVED: —( QXI Itcj Sl3 <br /> ------------------=- -__-------- DATE APPROVED: b 7ti,BUILDING REVIEW BY- <br /> — <br /> ----------—------------------ <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 No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI TEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONLNG CHECK LIST N Zoning District L-- k 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. Peak Hgt. <br /> Lot Coverage: <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 /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> 2q t� <br /> RE`L4,RKS (in house): 5 �IA <br /> inw ►h <br /> 5�_ <br /> fro <br /> N ez- tlR,w c�`ecK. pl�cQd ovl �Ic�. �r� e `'d we� -6:5 hSsf <br />