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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE O�LY <br /> ADDRESS OR LEGAL: �31�( ('�f�c,�Pr �.o a0 <br /> PID: <br /> DESCRIPTION OF WORK: ��� /�3 o�r c`��sii.v �,,�a � ,J <br /> ----------------------------------- ---- ---- --------------------------------------,i -o ----- <br /> ZONING REVIEW BY: DATE APPROVED: 3— `� . <br /> BUILDING REVIEW BY: D�TE APPROVED: 3 -� � • '� Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No ��:aTER CONNECTION <br /> INVESTIGATION FEE Yes No f PaRK FEE <br /> SAC Yes No .� SITE I.`SPECTION <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 Sun�ey: I b-ZZ.-Gi..� <br /> Proposed Setbacks: � , <br /> Front (Lake): (�1 t Right Side: 5► �" <br /> Rear (Street): I o S' Z Left Side: Z.`-I•� <br /> Adjacent Structures: N /f� Wetland: — <br /> Building Height: Def. Hgt. Z� Peak Hgt. 30 ' <br /> Lot Coverage: U•k <br /> Grading: Staff Approval Date: N�C By: Council Approval Date: <br /> Septic: Staff Approval Date: �/ I � By: <br /> Zoning File: # 03�Z`��-S Resolution: # Resolution Date: 2-► �-oy <br /> Shoreland District: /`!0 <br /> Avg. Setback: Bluff Setback: L o t C o �• e r a g e : <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 />