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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8`{5 W L--A- -.) \4 t e; �2_ <br /> PID: <br /> DESCRIPTION OF WORK: 1'A0-1- (3oks_a; WT r^tn3vsr+ <br /> ZONING REVIEW BY: n(5 .E DATE APPROVED: t Z-6.0Y <br /> BUILDING REVIEW BY: U-� 0).4.14,. DATE APPROVED: (2-6- 0`r <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 t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: NO C H ANG e <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Vidth Depth <br /> Survey Sub nutted: Yes No date of Suvey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wed,nd: <br /> Building Height: Def. Hgt. Pea Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By. Council Approval Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File: # Resolution.' # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: 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 /> 31 <br />