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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-s5-3 u1/4.)00h ve-,may , <br /> PID: <br /> DESCRIPTION OF WORK: 0 cc k <br /> ZONING REVIEW BY: —~---w DATE APPROVED: 5 -Z7 _o S <br /> BUILDING REVIEW BY: D DATE APPROVED: 5 . -O <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 '✓ 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 _4_ No Date of Survey: on) 41.-P <br /> Proposed Setbacks: <br /> Front (Lake): 12SQ' Right Side: 9,y '± <br /> Rear (Street): 2..'-i 0' i Left Side: 11-0 <br /> Adjacent Structures: 4-riV4U-t'. ) Wetland: N/4 <br /> Building Height: Def. Hgt. ^//r' Peak Hgt. -- <br /> Lot Coverage: 0•)C <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: ND <br /> O <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 />