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I , � <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: ��� QZ.pwrJ (Zo A,O <br /> PID: <br /> DESCRIPTION OF WORK: ��,—�-. �,qR�q� �;, <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: q •6 •0-2 <br /> BLTILDING REVIEW BY: DATE APPROVED: q .b . � 2 <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 WATERCONNECTION <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 Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: �nr /=r(k <br /> Proposed Setbacks: <br /> Er�ent (Lake): �}�� ' + Right Side: °3i .'� <br /> Rcaf(Street): 1 � 0 Left Side: 7� D <br /> Adjacent Structures: Z-5` Wetland: /1//f1 <br /> Building Height: Def. Hgt. (�•f� Peal:Hgt. <br /> Lot Coverage: N!/� <br /> Grading: Staff Approval Date: ^ By: Council Approval Date: <br /> Septic: Staff Approval Date: "" By: <br /> ,,���/ Zoning File: # Resolution: # Resolution Date: <br /> �'� <br /> Shoreland District: u�5 <br /> Avg. Setback: /�'//fi Bluff Setback: /�(/� LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �s-2so� G� �C <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />