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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 80( -T' AJ(CAW A <br /> PID: <br /> DESCRIPTION OF WORK: P-eT 4 t"(N& w ALL 5 <br /> --- _--------__------____---_---------------- <br /> -- _ t -- <br /> ZOINL G REVIEW BY: DATEAPPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: o- I-O 1 <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> _---__----- --------------- -- <br /> ZONING CHECK LIST Zoning District: /VO C.ct4ov <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wi Ith Depth <br /> Survey Submitted: Yes_ew, No Date of Survey: eK FMA-1 <br /> Proposed Setbacks: <br /> t �Front(Lake): g <br /> Rear(Street): 3S0 + Left Side: (00 '+' <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> 'pr Zoning File: # Resolution: # 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 /> .REMARKS(in house): <br /> 7 <br />