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CHECK OFF LIST FOR ISSUAtNCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yo lv r9 T�)2r/c�+r✓ �� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZO.N NG REVIEW BY: DATE APPROVED: iv//- 3-o s <br /> BUELDIN G REVIEW B DATE APPROVED: I f 3- og <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes _t,� 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 Isgti OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes c� No Date of Survey: <br /> Proposed Setbacks`. <br /> Front (Lake): 2 5 T• Right Side: amer /&0�,t <br /> Rear (Street): Z 7D Left Side: <br /> Adjacent Structures: yy I.1 Wetland: 7� Z <br /> Building Height: Def. Hgt. 3 a Peak Hgt. <br /> Lot Coverage: /-J / <br /> Gradjng: Staff Approval Date: y �, 2 -oS By: 7W Approval Date: <br /> Septic: Staff Approval Date: (!- Z--oS- By: W �. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: AD <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 /> RIENIARKS (in house): <br />