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• <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y 7 6 p w&sr 4/44A.cif 40/4-V <br /> j <br /> PID: <br /> DESCRIPTION OF WORK: (,owi¢n (,vim ! t I is/i r sr",Ai <br /> ZONING REVIEW BY.: %, " CQ•t4.-- DATEAPPROVED: S •12-oi3 <br /> BUILDING REVIEW BY.: a�l0CQ,e., ,_ DATEAPPROVED: i-i 2-o e <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: MN ~r <br /> PERMIT Yes /' No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No .7 SITE INSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECK LIST Zoning District: No <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: Wet and: <br /> Building Height: Def. Hgt. Pea Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: Q ge By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 1V D Permit: <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 />