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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ,ADDRESS OR LEGAL: ZSc�v Cr�s� �o�^� �-� <br /> . PID: <br /> ' DESCRIP'TION OF WORK: (��.C�= �P�'` <br /> -------- - --- ------------------------------------------:-------------------- <br /> ZO.�i'G REVIE`V BY: � � DATE APPROVED• 5 z7-�5 <br /> BUILDI�i 1G REVIEW BY: DATE APPROVED: ,�-2-�-�5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ 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 /> ZONI��1G CH�CK LIST Zoning District: N o C�- <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submi[ted: Yes No Date of Survey: <br /> Proposed Setbacks`. <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peal:H t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # R solution Date: <br /> Shoreland District: <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 /> REMA.RKS (in house): <br /> 7 <br />