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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 c.Se L3 A�`t S c�J c` �--c�( <br /> PID: <br /> DESCRIPTION OF WORK: �lt��/�!� �=0 2 Q 2(J,� w�,, �{�c,= <br /> -------------------------------------------------- -----------------------------------------------�------_-----y`--- <br /> ZONING REVIE� BY: DATE APPROVED• � z Y- <br /> BUILDING REVIEW BY: N (►'d- DATE APPROVED: <br /> ---------------------------------------------------------- -- <br /> - ----------------------------- <br /> FEES TO BE CHARGED: Misc. Fees alculated y: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No �- SEWER CONNECTION <br /> STATE SURCHARGE Yes 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 Offce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> � � <br /> Front (Lake): Right Side: � S <br /> ��}' Rear (Street): Left Side: ��d� � <br /> 1 <br /> G► Adjacent Structures: Wetland: <br /> �� ��. <br /> � Building Height: Def. Hgt. Peak Hgt. <br /> a <br /> Lot Coverage: <br /> Grading: Staff Approval Date: ��Z`{- °Lco By: d •�• Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> � 250-500' <br /> SOO-IOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br /> _ n�, <br />