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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 1 6v W. w Lug!✓� <br /> PID: <br /> DESCRIPTION OF WORK: S'f(,ry <br /> ZONING REVIEW BY: DATE APPROVED: G .2.6.-0 <br /> BUILDING REVIEW BY: --- DATE APPROVED: <br /> FEES TO BE CHARGED: 5'6'4 M. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ./ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WA!'ERCONNECTION <br /> INVESTIGATION FEE • Yes No PARK FEE <br /> SAC Yes No Sl"1•EINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: K- v/L- /Uo <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres • Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> • <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak gt. <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 /> 7 <br />