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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Z7 Z S W A` -7L4-nA R t-v o <br /> PID: <br /> DESCRIPTION OF WORK: 0 r F t c c. 1zxz ww o c <br /> ZONING REVIEW BY: DATE APPROVED: 2- I4• oa <br /> BUILDING REVIEW BY: DATE APPROVED: Z-I wy o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes P/ No WATERCONNECITON <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: Np CHAN(, <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres rWidthDate <br /> Depth <br /> Survey Submitted: Yes No of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wei land: <br /> Building Height: Def. Hgt. Pea.Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: I ly: Council Approval Date: <br /> Septic: Staff Approval Date: I ly: <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 N Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />