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CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ���S ��k�s�z� (-�,>�N�- C�-��=�✓.� <br /> PID: <br /> DESCRIP'TION OF WORK: ��;; _ ��:�.SP„a-eu�'ra�' t�.: c:� � (��,, �; <br /> -- - OC� T�o.v Cr- n ' <br /> ---------------------------------���------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: � �' _ �-- DAT'E APPROVED: �- -;�- y 7 <br /> BUILDING REVIEW BY: _ DATE APPROVED: y- 3� �-7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �./' No <br /> PLAN REVIEW Yes �'' No SEWER CONNECTION <br /> STATE S UR�I-�ARCrE Yes � No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No �-- PARK FEE <br /> SAC Yes No c/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <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 Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS (in house): J�f���c�t,,¢,�► i��r� ;-c ,�z��---� ,�- � ('�.z.:��4� <br /> c�t��iu-�, �iAT r1.L1�r Z.,.,�-� — s-t��=F /�G��t.�:Z:�-7 T� �C��� �ZZ,'7�i�4'��/'►-`�` e� v �;�c�� <br /> �'�':,`� Gf-;rt+ �r �xrsn,,, .s�, � �:-�.�c/ac�,4c:/�sv�-�'o�' � v� ,� -- r..e> y,�'��K <br /> ;— � �/t;'.r �: �L, y'. ,,�/. <br /> • 26 <br />