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r <br /> 1 R. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: a04,5 w p,-r=-n--mwr► ra,0 A,0 <br /> PID: <br /> DESCRIPTION OF WORK: 1'2,�-yam rye c� (C -t-�� -F ,gy.,cam, �Ze,m,.,•� <br /> --------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 3- i 6-oo <br /> BUILDING REVIEW BY: DATE APPROVED: 3-116 -c o <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: N o C HA1VCv ' <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 Side: <br /> Adjacent Structures: A etland: <br /> Building Height: Def. Hgt. P ak 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 Setb k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />