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CHECK OFF LIST FOR ISSUAINCE OF PERNUTS <br /> FOR OFFICE USE ONLY <br /> .ADDRESS OR LEGAL: (2_QA1"3 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> , <br /> ZON"EiG REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: 1(- 7 -0o <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 WATFRCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOINMNG CHECK LIST Zoning District: C-2- IC <br /> Fire Department: rA w�0 Post Office: ti,SASf-,A n4 School District: <br /> Lot Area: Sq.ft. Nu c- Acres Width Depth <br /> Survey Submitted: Yes No_� Date of Survey: <br /> Proposed Setbacks: Y( + <br /> Front(Lake): Right Side: <br /> Rear(Street): -�- Left Side: I O <br /> Adjacent Structures: (O +- Wetland: <br /> Building Height: Def. Hot. 0.(c- Peak Hot. <br /> Lot Coverage: 0 k_ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoaing File: f# Resolution: k 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 /> REtiLARKS (in house): <br /> 7 <br />