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CHECKOFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZI G5 f210A Q <br /> PID: <br /> DESCRIPTION OF WORK: SH e—=o <br /> ------------------------------------------,--- --------------------------------------------------------------- <br /> ZONING RE VIE PV B Y: (,�.�, DA TE APPR O VED: /L-Z t- o Y <br /> BUILDING REVIEW BY: DATEAPPROVED: t2 it• �� <br /> ----------------------- --- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN RE VIEW Yes— " 1V0 SEWER COMVECTION <br /> STATE SURCHARGE Yes—�� 1V0WATER CO NECTI01Y <br /> INVESTIGATION FEE Yes 1Vo ✓ PARK,FEE <br /> SAC Yes 1Vo ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOIVINGCHECKLIS T Zoning District: <br /> Fire Department: Post Office: School District: _.. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes 1--/_ No Date of Survey: o" yri k: <br /> Proposed Setbacks: r .4, , { <br /> Front(Lake): i S$ — Right Side: 1,60 <br /> Rear(Street): 34 j Left Side: 2`(O <br /> Adjacent Structures: (110 , Wetland: — <br /> Building Height: Def. Hgt. — Peak Hgt. -- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: StaffAppr•oval Date: By: <br /> Zoning Fife: # -` Resolution: # Resolution Date: <br /> Shoreland District: &)4, <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 /> 31 <br />