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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31 y 0 o�o <br /> PID: <br /> DESCRIP'T'ION OF WORK: ts E� <br /> ---------------- - ------------------------------------------------- <br /> ZONL]'G REVIEW BY: DATE APPROVED: 5-2-2­016 <br /> BUILDING REVIEW BY: DATE APPROVED: s -zz-0co <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 SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONhi TG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes A_ No Date of Survey: <br /> Proposed Setbacks' <br /> Front(Lake): 1)9 Right Side: ►`i� <br /> Rear(Street): 40f Left Side: Z 9 <br /> Adjacent Structures: t9 Wetland: Scr <br /> Building Height: Def. Hgt. N I& Peak Hgt. <br /> Lot Coverage: n! A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> x CLEVRr <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 /> RE`'tA.R.KS (in house): <br />