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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: q--to UJ t -L-o Wv(t✓w <br /> PID: <br /> DESCRIPTION OF WORK: (,o i< 2 C,EvtrL F/NISH <br /> ZONING REVIEW BY: 4-) le (— DATE APPROVED: / i•21-o s <br /> BUILDING REVIEW BY: 7 ,e,G DATE APPROVED: t Z.2,-7-o_5--- <br /> ) <br /> s) —FEES TO 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: Nv G H,9in-e <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> • <br /> Proposed Setbacks: <br /> Front (Lake): Right Side. <br /> Rear (Street): Left S..e: <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: <br /> Zoning File: # Resolution: Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Se ack: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />