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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3Z3'7 C r4 5c-� Ci R-c_¢_,�,.� <br /> PID: <br /> DESCRIPTION OF WORK: (��� /�cc�ss s-rr� s�s <br /> ------------------------------------------------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: � -(c� �D� <br /> BUILDING REVIEW BY: DATE APPROVED: g -� o-o� <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 WATER CONNECTION <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 /> rl�r� Fire Department: Post Office: School District: <br /> L��� <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: �— 9 ' �3 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> V,L <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> ��. <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 /> Avg. Setbac : Bluff Setback: L.ot Coverage: <br /> (� Existing Proposed <br /> �1 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 /> 7 <br />