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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /yZ� f3A�� Pi41lK /� <br /> PID: <br /> DESCRIPTION OF WORK: c�� - ��,a�,c, <br /> ZO�PTG REV�W BY: ,_ DATE A.PPROVED: � ��? -a-J <br /> BUII�DI�i 1G REV�W BY: DATE APPROVED; S- Z�-u7 <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLA��1 REVIEW Yes � No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes eL No Date of Survey: SeOr � � 4� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: �Vetland: <br /> Building Hei�ht: Def. Hgt. Pealc Hgt. <br /> t Coverage: <br /> rading: Staff Approval Date: By: Council Approval Date: <br /> eptic: Staff Approval Date: By: <br /> �6 <br /> � Zoning File: # �b 6S Resolution: # ��o�3 Resolution Date: �"`�( <br /> C Shoreland District: <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> NIARKS (in house): G4-cv� o,� �o�s �.�-e� 72e <br /> e.? <br /> 7 <br />