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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> AnDRESS OR LEGAL: / �Z� �3/��,,,� /�,,y,� S <br /> PID: <br /> DESCRIPTION OF WORK: (��LK ,Z.�,�Pt�lcc nn�-� <br /> ZOtiTi 1G RE'V�W BY: DAT'E APPROVED: 9-Z y- 03 <br /> BUII.DI�i TG REV�`V BY: DA'TE APPROVED; S-Z�- aS <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 /> ZONING CH�CK LIST Zoning District: (7•�C p�C N.C,, <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Righ[Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Disuict: <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). jo f ll�-D t..= L���- �J c:G(� [,� ��� 24�� i.S <br /> /� ivo.r c�=N c2oa� i-t w��/T <br /> 7 <br />