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. ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _��='.���/ `�=��" �: � r ��Y,���'�Q�;�' <br /> PID' :,%1G -- // 7 ,� 3 � 3 '�Ci J / <br /> DESCRIPTION OF WORK: y/�c'�,�,� ��'; ,-;,; �,,�� ,�;��,,�c �, <br /> ------------� �__�_���_ --------------y�--------�---------------------------------------- <br /> ZONIlVG REVIEW BY: /V t r� DATE APPROVED: <br /> BUILDING REVIEW BY: �- �„�, (�,� DATE APPROVED• c: �, 4 � <br /> _____-------------___---__________�-----------------------------------------------------�------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTION <br /> STATE SUR`HARGL Yes v No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Ycs No 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 (Stree[): Left Side: <br /> � <br /> G!�N �� Adjacent Structures: Wetland: <br /> � <br /> Building Height: Def. Hgt. Peak Hgt. <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 /> 75-250' <br /> 250-500' <br /> � 500-1000' <br /> i <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> � 26 <br />