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' , ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � y(�O �3R A C���=�S Qo�.�T <br /> PID: <br /> DESCRIPTION OF WORK: tZ�PAi,t � f-tNISFt G�TTv - �N���l s��2s r w�-+� w�s <br /> ---- ----------------------------- -------------------------------------------------�`---- --�ar_'-r__lf�u__��,a� <br /> ZONING REVIEW BY: �- Wi P• G. DATE APPROVED: �.�-p o <br /> BUII.DING REVIEW BY: � � DATE APPROVED: �- ► -�� <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 CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO��1G CHECK LIST zoning District: ^/'Q C �4-/.�rvG e <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: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. ' w� � n�/r <br /> � � t- <br /> Lot Coverage: � �h,�,� f-o �>��� <br /> ��i � < s-n w�,� y.�a 3 <br /> Grading: Staff Approval Date: Io- �- �v By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Z`(Z l Resolution: # 35�b Resolution Date: o�� z? Z7 <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 />