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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y 710 j D� Ayi C'c✓ /4��' <br /> PID: <br /> DESCRIPTION OF WORK: PA;tri <br /> ZONING REVIEW BY: ----�A_^— DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; 6-2�0 -o <br /> *46 <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 ,l PARK FEE <br /> SAC Yes No _� SITEINSPECTION <br /> Number of SAC-Urits OTHER (specify)- <br /> ---- ---—------—------------------———--------------------------------------------------------------------------- <br /> ZONING <br /> specify)----------------------------- <br /> ZONING CHECK LIST Zoning District: /V'4 C h4r4f44-C, <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: 1���� 140use <br /> Front(Lake): Right Sid <br /> Rear(Street): Left Si e: AJA IC7e' <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Pe - Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: N 114 By: <br /> LYX- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg-. Setback: Bluff Setba Lot CoveraMe: <br /> Existing- Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> RElNL-k KS (in house): <br />