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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /Z I GN�v�r Ct�t-�45� <br /> PID: <br /> DESCRIPTION OF WORK: /J c��(C, <br /> --------------------------------------------------- -------------------------------------------------------------------- <br /> ZONING REVIEV6� BY: DATE APPROVED: �- 3• S� <br /> BUILDING REVIEW BY: DATE APPROVED: �• �- y'l <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes c�- No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v" PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /Z -�� <br /> ���� Fire Department: Post Off ce: School District: <br /> f�� <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes p� No Date of Survey: l, •�Z.- S�, <br /> Proposed Setbacks: <br /> Front (Lake): /J (� Right Side: Z 5• � 'i= <br /> Rear (Street): SS � + Left Side: 3S � �' <br /> Adjacent Structures: /4���A-U-4'�'�.� Wetland: /v(/-1— <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 /> 1 p. Zoning File: # Resolution: # Resolution Date: <br /> � ''' <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <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 Appfoval: <br /> REMARKS (in house): <br /> 10 <br />