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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: f Y�u �"-��/��'•^�i -���� <br /> PID: <br /> DESCRIPTION OF WORK: v�-��:�-�'�- — �2��'-t' w-h--t( <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �� �� DATE APPROVED: <br /> BUILDING REVIEW BY: �,,�/ ��-. DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes No c� SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION , <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------- -------------------------c--�- <br /> � <br /> ZONING CHECK LIST Zoning District: �� � <br /> � �� � <br /> Fire Department: Post Office: School District: I <br /> Lot Area: Sq.ft. Acres Width Depth I <br /> i <br /> Survey Submitted: Yes No Date of Survey: � <br /> Proposed Setbacks: j <br /> Front (Lake): Right Side: ; <br /> Rear (Street): Left Side: <br /> � <br /> Adjacent Structures: Wetland: � I <br /> 'i <br /> Building Height: Def. Hgt. Peal:Hgt. ' <br /> I <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 District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />