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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9 9 3 (A)ILC)+vesT 7724 i t_ <br /> PID: <br /> DESCRIPTION OF WORK: ,( y t. - ,, - Lre. 03t( 1%16 /LAot'---77414-7)0 po e t <br /> ZONING REVIEW BY: j� DATE APPROVED: -2- 2 g • "2 <br /> BUILDING REVIEW BY: / /, r DATE APPROVED: -zs,-c72_. <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: /t)o 6,,'i1tv e <br /> Fire Department: Post Office: chool District: <br /> Lot Area: Sq.ft. Acres idth 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: 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: T— <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 /> 7 <br />