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• . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZb O Q/'�S t�P '�� <br /> PID: <br /> DESCRIPTION OF WORK: ��pf4�.��- P�d 8 2 — �nic�...a�-� �,� sr-� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: (� DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: �O ��—S'� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No �/ SEWER CONNECTTON <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Su �y: <br /> Proposed Setbacks: <br /> Front(Lake) Right Side: <br /> Rear (Street) Left Side: <br /> Adjacent St ctur s: We land: <br /> Building Height: De . Hgt. Pe �Hgt. <br /> Lot Coverage: <br /> Grading: Staff App oval Dat By: Council Approval D te: <br /> Septic: Staff Appr val Date: By: <br /> Zoning File: # R solution: # Resol tion Date: <br /> Shoreland District <br /> Avg. Set ack: Bluff Se ack: Lot Coverage: <br /> Existing Proposed <br /> Hardco r: 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 />