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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �f�S��` ��-���'�� ���� <br /> PID: �{�; ,;�� . a 3 J� c�o �f 3 <br /> DESCRIPTION OF WORK: f��''�=�-%� v r�,�.�.� L x�S;�ti:� c�;z.�; <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � �,��-- DATE APPROVED: y—3� � 7 <br /> BUILDIN G REVIEW BY: - �, � ,,.._ DATE APPROVED: L(- 3�� ;7_ <br /> ------------------------------------------------�- --------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ��' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SUR:�-IARG� Yes � No WATERCONNECTION <br /> INVESTIGA'I'ION 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: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> a� r Adjacent Structures: Wetland: <br /> ��� Peak H t. <br /> (,� Building Height: Def. Hgt. S <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: �t Resolution Date: <br /> Shoreland Dist:ict: . <br /> Avg. Setback: Bluff Setback: Lot 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 /> . 26 <br />