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� �►. r <br /> / <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t�c� C3�i� �5�ti� <br /> PID: <br /> DESCRIPTION OF WORK: t e� x t Z ,�r'-�v� <br /> ------------------------------------------------------ ---------- <br /> ZONING REVIEW BY: -- :,.._ DATE APPROVED: �'� 'Z�, j 7 <br /> BUILDING REVIEW BY: � � ' %,� DATE APPROVED: �3 � Z� �i�7 <br /> ----------------------------------------------z- ----------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SUR:I�ARGL Yes f/ No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: �� � <br /> Fire Department: l, L Post Office: �r�i.+�:, School District: .ti� e C f���G�' <br /> Lot Area: Sq.ft. n;� C,�'��Acres Width Depth <br /> Survey Submitted: Yes No � Date of Survey: <br /> Proposed Setbacks: <br /> Fferit (Lake): _ (i�L� 'N Right Side: '3'`c.�' '`— <br /> ' S � <br /> Rear (Street): 3� � Left Side: �� <br /> Adjacent Structures: �� 5� Wetland: /'V �� <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 /> j�� � Zoning File: # Resolution: #� Resolution Date: <br /> tiv�� <br /> p� Shoreland Dist=ict: - Lot Covera e <br /> Avg. Setback: Bluff Setback: g � <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 /> , 26 <br />