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( i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: !5�jS +(�C7F-1N S �o,�.r� (Za,�,�.� <br /> PID: <br /> DESCRIPTION OF WORK: /a ro�p i n o iv f L�.��c�c. <br /> -------------------------------------------------- ------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �-l-�y -�o <br /> BUILDING REVIEW BY: DATE APPROVED: �-i�-v� <br /> --------------------------------------------------------------------------------------------------------------------- <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 WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: N� GC-F-wr�-e �2 D• l� , <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> , <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: ', Lot Coverage: <br /> Existing I Proposed <br /> Hardcover: 0-75 I <br /> 75-250' <br /> 'I <br /> 250-500' I <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />