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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 t(,o w yt� -4 GL_v <br /> a <br /> DESCRIPTION OF WORK: 0 ic't=t cx S P A c.-G <br /> ZONING REVIEW BY: d DATE APPROVED: y-21-7 <br /> BUILDING REVIEW BY: O (!1 -- DATE APPROVED: Y- 2 -10 <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 V- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y:;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> — INTO G t-(-r4-illy_ <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 /> Building Height: Def. Hgt. Peak 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 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 /> REMARKS(in house): <br /> • <br /> 26 <br />