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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> F9R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: c?v (�� -rte4,4J <br /> PID: Rs�+ <br /> DESCRIPTION OF WORK: ' 71; // <br /> ZONING REVIEW BY: _ 1, DATE APPROVED: 1 Z.• ze-' <br /> BUILDING REVIEW BY: 4!MISIP DATE APPROVED: ( z -fig 5'4 <br /> 4 <br /> r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes c/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes J 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: /V0 Gtfrai•�„(_ <br /> Fire Department: Post Office: D School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No s ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan i: <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: l Z-I i -4 ct By: C •e Council Approval Date: <br /> Septic: Staff Approval Date: — j'2 OO By: 616 <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: Al C) <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 />