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.' �. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 z2�� C�4 s� c i2� <br /> PID: <br /> DESCRIPTION OF�VORK: C �-��c,,e /20o c -(� C.a••�� �. ►-c� � /L�7Jl.�u t,��-�Jawf <br /> � <br /> ZO��'VG REVIEW BY: DATE APPROVED: g � i �{- �3 <br /> BUII�DING REV�W BY: DATE APPROVED: �g - ,y -� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIEW Yes No �/ SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZOti1NG CHECK LIST Zoning District: N d G�f, ..Q <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes N Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right ide: <br /> Rear (Street): Left ide: <br /> Adjacent Structu�es: Wetland: <br /> Buildin� Height: Def. H?t. Peal:Hgt. <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 District: <br /> Av�. Setback: Bl ff Setback: I.ot Coverage: <br /> E s(ing PropOsed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE\�I:ARKS (in house): �2�cdit/ o r= /lv o�- /�,^-�i ���► .� rs'`� �/O f <br /> �, ISS� � <br /> 7 � <br />