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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /D 7 G�f�v� Cr'�9s,P <br /> PID: <br /> DESCRIPTION OF WORK: r'� v4, <br /> Z0.�1I�i 1G REV�W BY: `V ( IA ----� -- DATE APPROVED: <br /> BUII.,Dri�tG REV�W BY: � DATE APPROVED; 4- 2`( —c�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes _� No <br /> PLAi�T REVIEW Yes No / SEVVER CONNECTION <br /> STATE SURCHARGE Yes � No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District N� C l .P <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Ri t Side: <br /> Rear(Street): Le t Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Gradina: 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 Se back: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' _� <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> REMARKS (in house): <br />