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CHEC�K OFF i�IST FOR ISSUANCE OF 3?E�2.i.'VIITS <br /> FOR OFFICE U ONLY <br /> ADDRESS OR LEirAL: /53S �oNN.S a,�% �'� <br /> PID: <br /> DESCRIPT�ION OF WORK: u,vr�h•�s � eyvt ��` �3 G¢•�s �.v <br /> ------ --- ------ — ----------------- <br /> ZOV�IG REVIE`V BY: _.-- AATEAPPROVED: 7-l�i�D6 <br /> SUII�DING REVIEtiV B DATE APPROVED: -�-�y-Ob <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V � Yes �,��/ No SEtiVER C0�INECTION <br /> STATE SURCHARGE Yes ___,/_�L No `VATERCONNECTION <br /> INVESTIGATION FEE Yes ✓ No PARK FEE <br /> SAC <br /> Yes No -�� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�tI�1'G C�CK LIST Zoning District: �, <br /> Fire Department: Post Office: School District: � <br /> I,ot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes _ L No Date of Survey: (- 6-�S' <br /> Proposed Setbacks: <br /> Fron[ (Lake): Ri�t Side: <br /> Rear (Screet): Left Side: � �� <br /> Adjaceot Structures: bVetland: <br /> Buildin� Hei�t: Def. Hgt, /lJ (�}- _ Pea.k Hgt. <br /> Lot Covera�e: N l t/1 <br /> Gradino: Scaff Approval Date: (� �4�-- By:�_ Council Approval Date: ' <br /> � <br /> Septic: Scaff Approval Date: /�! (,� �Y� . <br /> Zoain� File: n -- Resolution: # Resolution Date: <br /> Shoreland District: . <br /> Av�. Setback: � ��C Bluff Secback: /J (/� L.o[Covera�e: /J �� <br /> E�istina Proposed <br /> 0 <br /> Hardcover: 0-75' D <br /> 75-25Q' -��.� <br /> 2�0-500' �Y <br /> 500-1000' <br /> Ha�dcover Variance Required: Yes No � Da�e of Council Approval: <br /> RE1L�4R�iS (in house): <br />