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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2tb0 W. G..)A kf-7,4 771. ecoo <br /> PID: <br /> DESCRIPTION OF WORK: j n�vt.t o A_ O r--t c.e: 12-04"-0 O2 <br /> ZONING REVIEW BY: �y�' DATE APPROVED: 7-/45- 52 <br /> BUILDING REVIEW BY: l/ (, _ DATE APPROVED: '7- r 5- 57 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes v— No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v^ PARK FEE <br /> SAC Yrs No v SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> rZONING CHECK LIST Zoning District: <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: Wetland: <br /> ti ki Building Height: Def. Hgt. Peak Hgt. <br /> L 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 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 /> L- <br /> REMARKS(in house): <br /> 26 <br />