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• CHECK OFF LIST FOR ISSU CE OF PER1tiIITS <br /> FOR OFFICE US ONLY <br /> ADDRESSORLEGAL: ��S '�� ,�.�:.,_,__�.C� /� �� � <br /> PID• ���-�l � - � 3 i G� '� <br /> DESCRIPTION OF WORK: ' ',� �� ; �.- ,,��J ��-�--� <br /> ZO�TING RE'VIEW BY: DATE APPROVED: <br /> BUII�DING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fe s Calculated By: <br /> PERMIT Yes No � <br /> PLAN REVIEW Yes No SEWF�2 COiVNECTION <br /> STATE SUR�HA1�G�� Yes No WATER CONNECITON <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOYING CHECK LIST Zoning Districc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid Depth <br /> Survey Submi[ted: Yes No D te of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: 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: # R solution Date: <br /> Shoreland Dist:ict: . <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezisting 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 /> REI�ZARKS (in house): <br /> • 26 <br />