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r . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2g�S C w►sc.o Po��T f2o A� <br /> PID: ' <br /> DESCRIPTION OF WORK Ct�✓►�o�EL <br /> ZONING REVIEW BY.• DATE APPROVED: l-27-a Y <br /> BUILDING REVIEW BY.• DATE APPROVED: r-27 -O Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes ,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ._ SITE INSPEC770N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �Vo C�A�/G Q <br /> Fire Department.• Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth 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: Wet nd: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Staff Approval Dare: <br /> Zoning File: ti Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg.Setback: Bluff Setback:, Lot Coverage: <br /> Existing � Proposed <br /> Hardcover: 0-75' <br /> 75-250' �; <br /> zsasoo� ; <br /> soal000� + <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br />