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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE' USE ONLY <br /> ADDRESS OR LEGAL: (�Z �-{ u c A t - 101z. <br /> PID: <br /> DESCRIPTION OF WORK: -.W,t.v-v-,,z IQ Aw,,A(. PAA <br /> ZONING REVIEW BI. _� DATEAPPROVED: <br /> BUILDI.NGREVIE N'BY. DATEAPPROVED: <br /> FEES TO BE CH4RGED: / Misc_ Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN RETVIETT YesNo c/ SEYT'ER CONNECTION <br /> STATE SURCHARGE Yes No Tf ATER CONNECTION <br /> INFESTIGATION FEE es No ,/ PARK FEE <br /> SA C Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECKLIST Zoning District Al d <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres kFidth Depth <br /> Survev Submitted: Yes No Date of Survey <br /> Proposed Setbacks: <br /> Front(Lake). Right Side: <br /> Rear(Street): Left Side: <br /> Aayacent Structures: Wella d. <br /> Building Height: Def Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading Staf"Approval Date: BY. Council.4pproval Date: <br /> Septic. StaffApproval Date: Bl, <br /> Zoning File 9Resolution. I Re olution Date: <br /> Shoreland District: MC dD Perish: <br /> Avg. Setback: BitijffSetback, LotCovera2v. <br /> aisting <br /> Hardcover. Proposed <br /> : 0-'�' <br /> -50-500' <br /> 500-1000` <br /> Hardcover T'ariance Required: 3es No Date of Council Approval: <br /> RENEARKS(in house): <br /> 33 <br />