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r CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . .. ADDRESS OR LEGAL: l�O �31(-, .�SL�nt✓) <br /> PID: <br /> DESCRIPTION OF WORK: /�r C W C�4 C�N �- <br /> ---------------------------------------- ---- -------------------------------------------------:---------Y--------- <br /> ZONIlVG REVIEW BY: DATE APPROVED. z z -�3 <br /> BUILDING REVIEW BY: DATE APPROVED: Z-z.y -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes _,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No _�� PAItK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> F�-(Lake): 1 S-`�( Right Side: I`-�-� <br /> R�(Street): /�(,j Left Side: � z-�dz- <br /> Adjacent Structures: �O Wetland: /1J J f+ <br /> Builciing Height: Def. Hgt. Z�( Peak Hgt. Z � <br /> Lot Coverage: �.�L <br /> Grading: Staff Approval Date: t� .l�- By: ,� Council Approval Date: <br /> Septic: Staff Approval Date: 2- Zc� 03 By: M�6 <br /> Zoning File: # — Resolution: # — Resolution Date: `- <br /> Shoreland District: y�5 <br /> Avg. Setback: ��.K Bluff Setback: N ��- LotCoverage: c�./� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �s-Zso� G K <br /> Zso-soo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />