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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: g 2/ a w' v4- at- <br /> v s <br /> PID: <br /> DESCRIPTION OF WORK: 5ibri <br /> ZONING REVIEW BY: c HAPu r DATE APPROVED: 5.12- °'3 <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1MIT Yes V No <br /> PLAN REVIEW Yes ,., No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WA RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: N /4 <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: Welland: <br /> Building Height: Def. Hgt. PeatHgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B <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 /> 7 <br />