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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: (p p S (,",110 s <br /> PID: <br /> DESCRIPTION OF WORK: P, <br /> ZONING REVIEW BY: 7:4 ' DATE APPROVED: 9- 3 0 -�S <br /> BUILDING REVIEW BY: � f/ DATE APPROVED: 9 3 0 <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No v, PARK FEE <br /> SAC Yes No L SIIEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes /- No Date of Survey: o"/" <br /> Proposed Setbacks: <br /> Front(Lake): 3 3b- Right Side: I y a <br /> Rear(Street): Ls' tLeft Side: <br /> Adjacent Structures: 24.9 ' Wetland: <br /> Building Height: Def. Hgt. //1 1 h- 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: AP <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 />