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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY- <br /> ADDRESS OR LEGAL: SS W A -�-� <br /> PID' <br /> DESCRLPTION OF WORK: <br /> _^___—__—__-------------------- <br /> ZOYNG REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPRO--------------------------- <br /> VED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEVER 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 /> ZO-NL1IG CHECK LIST Zoning District: <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: Right Side: S` �tQS <br /> Front(Lake): <br /> � <br /> Sv �N. <br /> \ <br /> Rear(Street): Left Side: 3O <br /> Adjacent St ucvures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: �' 4 ` �� By: <br /> Zoning File: Resolution: # Resolution Date: <br /> Shoreland District: Lot Coverage: <br /> Avg.Setback: Bluff Setback: <br /> Fasting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover valiance Required: Yes No Dare of Council .kpprovz: <br /> P.E1LkRKS (in house): <br />