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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-7 te, v Demo__ N 7 '`— <br /> PID: <br /> DESCRIPTION OF WORK: El• e.z_ vo.0,"„ <br /> ZONING REVIEW BY: � DATE APPROVED: 0 - 2 2 _1 Y <br /> BUILDING REVIEW BY: �Q.�. DATE APPROVED: 0. 2- <br /> 2.r- <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: No <br /> Clay( <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes pcNo Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: (t{.5— <br /> Rear (Street): Left Side: 5- <br /> Adjacent <br /> Adjacent Structures: 41 /4 Wetland: <br /> Building Height: Def. Hgt. 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 /> it)..� - 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 /> REMARKS (in house): <br /> 7 <br />