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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�2`{ �.s� Pcr� ,/'�•� <br /> PID: <br /> DESCRIPTION OF WORK: fJ u—z,t` <br /> ZONING REV�W BY: i DATE APPROVED: �e- �� �3 <br /> BUII.DING REV�W BY: �,,,,, DATEAPPROVED: � � 3� �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIEW Yes ;/ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes c� No WATF,RCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> ZO��1G CHECK LIST zoning Districc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 2�, �fiG�� t Acres , S� Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: r�,,.. 1��� <br /> Proposed Setbacks: <br /> Front (Lake): 7 y ' �' Right Side: G � � t <br /> Rear (Street): 5S� + Left Side: $�� r <br /> Adjacent Structures: �o Wetland: /ti�r`� <br /> Building Hei;ht: Def. Hgt. c� •(C. Peal:Hgt. <br /> Lot Covera�e: �Z . `� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # � Resolution: # Resolution Date: . <br /> Shoreland Districr. U�� <br /> Av�. Setback: N 1 va Bluff Setback: /lJr v'4 I.ot Coverage: I 2• `� <br /> Eeisting Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' ZZ- `� Z�• 3 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REv1ARKS (in house): , <br /> 7 <br />