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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I ti 2 S Q,q�2 i �GLS t�� <br /> PID: <br /> DESCRIPTION OF WORK: (,4�(�; 1'�G c�ss s r�4 t 2 <br /> ------------------------------------- - --- - --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �- �(- p� <br /> BUILDING REVIEW BY: DA'I�E APPROVED: (�- �-(-o � <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 WATER CONNECTTON <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: �(L- �� <br /> Fire Department: C.vNc.�lMw' Post Office: �� (Jk�lt,� School District: p(i.0 rv� <br /> Lot Area: Sq.ft./v a G����c,�Acres — Width — Depth — <br /> -a— <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 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: # Resolution Date: <br /> u <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 7 <br />