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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: :3o•it 6 -Z3- If 0001 <br /> PID: <br /> DESCRIPTION OF WORK: `f0 90 <br /> ------ -----------------_ --------------------------------------------------------- <br /> ZOMEi NG REVIEW BY: ---�- DATE APPROVED: <br /> S <br /> BUILDING REVIEW BY: DATE APPROVED: �--s_*f <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No _ Date of Survey: :rtrErtui s '0!;, <br /> Proposed Setbacks: <br /> Front (Lake): /oil + Right Side: ( Oo <br /> Rear (Street): (oa Left Side: toot fi <br /> Adjacent Structures: ^i ( ✓3 Wetland: <br /> Building Height: Def. Hot. 0 Peak Hgt. <br /> Lot Coverage: /y IQ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: AN <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> O <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 />