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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY pp <br /> ADDRESS OR LEGAL: 18 S-� Fak /Q i Gg��- <br /> PID: <br /> DESCRIPTION OF WORK: 7 2c- <br /> -------------------------------------?�----------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: /yl��%`f �r C DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: to—lT—Bo <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1c No <br /> PLAN REVIEW Yes K No SEWER CONNECTION <br /> STATE SURCHARGE Yes \,f- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department:Z Post Office: L� School District: 2`l <br /> Lot Area: Sq.ft. Acres Width Depth <br /> �^ r <br /> Survey Submitted: Yes No Date of Survey: ow f//e 7 <br /> Proposed Setbacks: <br /> Front(Lake): I Right Side: <br /> Rear (Street): Left Side: 0 <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> t� Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <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 /> MARKS (in house): <br /> 7 <br />