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• <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (2)Z'5 (-s t eld3 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: 4c6ySits:____ <br /> DATE APPROVED: '-BUILDING REVIEW BY: DATE APPROVED: y- 70-6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v- No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WAIER 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ric No Date of Survey: ON 4 t. <br /> Proposed Setbacks: <br /> Front(Lake): 110 r ± Right Side: ! 2 ' f <br /> Rear(Street): 9o` Left Side: 9S t <br /> Adjacent Structures: 147714 ti-re70 Wetland: <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> j.(),- Septic: Staff Approval Date: By: <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 />