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CHECK OFF LIST FOR ISSUANCE OF PERIINIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: L=rifTfL111q-"CP WtAZNv w-4,J--S <br /> ZON NG REVIEW BY: DATE APPROVED: Q-!S- On <br /> BUII.DTIYG REVIEW BY: DATE APPROVED: - 5 -o 0 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes e,— No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONriG CHECK LIST Zoning District: ivo <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: N <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): iLeft Side: ?-�o O` <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hot. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolut on: # 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:* Ye No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />