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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (D �1 D �--<<� � /��r /l,� <br /> PID: ,; y-i/�- �-3 /� o a � 3 <br /> DESCRIP'TION OF WORK: ,���r 6�� /�e�a�����C�P . <br /> ZO�G REVIE`� BY: !�1 � DATE APPROVED: <br /> BUII.,DING REV�W BY: DATE APPROVED: S •Z4-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No � <br /> PLAN REVIEW Yes f/ No SEWER CONNECTION <br /> STATE SUR`HARG�� Yes � No WATER CONNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> �OrTING CHECK LIST Zoning District: _ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. Acres Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> �(•�' BuIlding Heighr. 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 /> 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 /> REiI�IARKS (in house): <br /> • 26 <br />