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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 37 y S 17-D6 o 12o/- <br /> PID: <br /> DESCRIPTION OF WORK: S F{ <br /> ZONING REVIEW BY: DATE APPROVED: -?- Z z <br /> BUILDING REVIEW BY: DATE APPROVED: -7 . ZZ-oy. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f 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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes k` No Date of Survey: 01&3 <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: 5 Z <br /> Rear (Street): Left Side: <br /> Adjacent Structures: N Wetland: N14 <br /> Building Height: Def. Hgt. 0-K-- Peak Hat. <br /> Lot Coveraae: p rl <br /> Grading: Staff Approval Date: ^J 119 By: Council Approval Date: <br /> Septic: Staff Approval Date: .4/1 q. By: <br /> Zoning File: # Resolution: # — Resolution Date: <br /> Shoreland District: /V o <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 />