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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,� SC�c_:� C �1 j��, '�f <br /> PID: <br /> DESCRIPTIONOF WORK N'�� �-�. <br /> ZONING REVIEW BY.• ,!�' DATEAPPRO i�ED:� S � <br /> BUILDING REi�IEW BY.• _,a,� DATEAPPROi�ED: z -2� _ v� <br /> FEES TO BE CHARGED: —� � � " <br /> Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATER CONIVECTION <br /> INVESTIGATION FEE Yes No ./ PARK FEE <br /> SAC Yes No ,/ SITEINSPECTION <br /> Number ofSAC Units QA�p '# ,3'e2 � -z�_63 ,,,e�,,, � OTHER (spec�) <br /> �_ _ 1 b�V �'2y-b�i I�l.rOk�.../ ,� <br /> F _� <br /> ZONING CHECIf LIST Zoning District: -� �~� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sg.ft. Acres Q, (p� 3 Width ��� � Depth <br /> Survey Submitted: Yes �/ No Date of Survey: �O Q 7 <br /> Proposed Setbacks: � �E" r� <br /> Front(Lake): �,s ,�kg#t Side: �Q � -� 3G� <��,,,,Pri�[e.ro,oe � <br /> Rear(Street): `�d , s�Side: �� , <br /> Adjacent Structures: �'� Welland: /f� <br /> Building Neight: Def. Hgt. d,� Peak Hgt. <br /> Lot Coverage:�� , �� <br /> Gradin Sta A rovaT Date: ►� (��e By.D'`�''��nds� <br /> g� ff Pp �lioa Council Approval Date: <br /> Septic: StaffApproval Date: r gy. ��– <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District.• � MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' �— <br /> 75-250' Z$% <br /> 250-500' Q <br /> 500-1000' - <br /> Hardcover l�ariance Requir-ed: Yes No� Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />