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1 ; 1 4 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 3+., `/7A- °.'1 <br /> PID: <br /> DESCRIPTION OF WORK: -76viv iw 7 ,!v a 9& <br /> ZONING REVIEW BY: 4v.iccir <br /> DATE APPROVED: -i( U 7 <br /> BUILDING REVIEW BY: .6,Vcu.. DATE APPROVED: ,_, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes //' No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <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: A%° C tfA`s <br /> t <br /> Fire Department: Post 0 ice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): R ght Side: <br /> Rear (Street): ft 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: Bluf Setback: Lot Coverage: <br /> Exist g 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 />