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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZo W A K.c-F1 e(_,D -(Lo A-0 <br /> PID: <br /> DESCRIPTION OF WORK: Le=1 T A+e,4A,�Ao I_k,,ya✓Q1eL <br /> ----- <br /> ZONING REVIEW BY: _ DATE APPROVED: q- <br /> BUILDING REVIEW BY: DATE APPROVED; Y-1(-of. • . <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 /> ZONING CHECK. LIST Zoning District: tyo aA[.-G—e <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: <br /> Front(Lake): Right Side <br /> Rear(Street): Left Si e: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt, eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By Council Approval Date: <br /> Septic: Staff Approval Date: By <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 /> RENLARKS (in house): <br />