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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY- <br /> ADDRESS ORLEGAL- t185 W\(NQMC-R.Z- RA&- <br /> PID: <br /> DESCRTIYnON OF WORK- t?zVK,--d%Z- <br /> _ —---------------------------------------------------- <br /> ZON�i IG REVIEW BY: 1#4 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; A/-/6 -6I <br /> -------------- -- <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ./ No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No tiVATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOYLNG CHECK. LIST Zoning District lar <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq-ft- Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid <br /> Rear (Street): Left Si e: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt, eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: �j Council Approval Date: <br /> Septic: Staff Approval Date: BY:.i v <br /> Zoning File: # Resolution # Resolution Date: <br /> Shoreland District: Lot Coverage: <br /> Avg. Setback: Bluff tback: <br /> Eusdin g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> RE`L4_ S (in house): <br />