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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 41760 cA)E5� & 4,VcW 72040 <br /> PID: <br /> DESCRIPTION OF WORK: (��.e,\ C,Gve� t i�v�si <br /> ZONING REVIEW BY: , le DATE APPROVED: t C •2.--oy <br /> BUILDING REVIEW BY: c' ��! KL DATE APPROVED: t o •t•Z-o <br /> r <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 SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: O <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres ' 'dth Depth <br /> Suivev Submitted: Yes No D ite of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wet and: <br /> Building Height: Def. Hgt. Pe k Hgt. <br /> Lot Coverage.: <br /> Grading: Sta Approval Date: 13,1: Council Approval Date: <br /> Septic: StaffApproval 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 /> 33 <br />