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CHECK OFF LIST FOR ISSUANCE OF PERMITS -� <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 30� � C�S� P��N�- ('�� <br /> PID: <br /> DESCRIPTION OF WORK: (3Wts�,w��s'T- rw�s H <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: ,� DATE APPROVED: s G►3-o�( <br /> BUILDING REVIEW BY: DATE APPROVED: s-3 —o� <br /> ------------------------------------------------------------------------------------------------------------------------ <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------�--------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: _�v o G� e <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 ide: <br /> Rear (Street): Left ide: <br /> Adjacent Structures: etland: <br /> Building Heijht: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B • Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Acg. Setback: Bluff Set ack: L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2 50-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br />