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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: CaL•� S Tq�)��� <br /> PID: <br /> DESCRIPTION OF WORK: T / <br /> ------------------------------------------------ --------------------------------1---------------------------------� /. <br /> ZONING REVIEW BY: IZEL DATE APPROVED: I 1- t z-u-z- <br /> BUILDING <br /> BUILDING REVIEW BY: ,� DATE APPROVED: i t - t Z •oZ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �A10 <br /> PLAN REVIEW Yes ;/ No _ - SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------------------------------------------------------------------------------� r-------------------- <br /> ZONING CHECK LIST Zoning District: O. I< k FOOT t N� A-e W -t�-A1V,6A n YU OAJU--� <br /> Fire Department: Post Office: S hool District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of S rvey: <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: ouncil Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolutio 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 f Council Approval: <br /> REMARKS (in house): <br /> I <br /> 7 <br />