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, . . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z5�t c� C�5� n0 r�r� t'�O� <br /> PID: <br /> DESCRIPTION OF WORK: ���� onJ 2�,-�-o (��- � u.J CX�Sr�NS <br /> --------------------------------------- --------- ------------------------------------------------------------------- ov� J <br /> ZONING REVIEW BY: DATE APPROVED: /I-3�- Sb <br /> BUILDING REVIEW BY: DATE APPROVED: �r � 3� -4�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � 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 � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (�2- �C <br /> Fire Departmenr. ��,M/� Post Office: (�vAxZ,a-i'� School District: w-PS'rvNK-v� <br /> L.ot Area: Sq.ft. WO C'/-/rq� Acres Width Depth <br /> Survey Submitted: Yes �L No Date of Survey: O� c=I� <br /> Proposed Setbacks: �(� C �C,f���[� <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <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: # Reso tion Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> i <br /> 7 <br />