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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: Z G<a-1 W A-i Z-r4 TY-\ <br /> PID: <br /> DESCRIPTION OF WORK: rrrc- rw••/C/fPJrv6 a /2t7uoG eL Fu ec sngno.v c.4rv% <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: ft <br /> DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes ✓ No SEWER CONNE&HON <br /> STATE SURCHARGE Yes No WATERCONNECTION <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: A <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Nidth 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: Wetlan : <br /> Building Height: Def. Hgt. Peak H t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution 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): F'u e L S•r A-n o N (--C-41-7,,,J ✓�p�✓1.0"P� /jy Co��G/ <br /> 7 <br />