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G � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��U �i C, i SUkrw'� <br /> PID: <br /> DESCRIPTION OF WORK: 5;��✓� <br /> ---------------------------------------------- ----------------------------------------------------------------------- <br /> r <br /> ZONING REVIEW BY: ' DATE APPROVED: � ��� -y`� <br /> BUILDING REVIEW BY: ! ,�,� DATE APPROVED: 3 z S - S`j <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (�' -`_� <br /> Fire Department:(�,s� �� Post Office: �'1;�� .v -� School District: <br /> Lot Area: Sq.ft. ��,i �,�j� Acres <C7 �� 3 Width �� � Depth � /` ) <br /> Survey Submitted: Yes „� No Date of Survey: ch� ;=i �; <br /> Proposed Setbacks: <br /> �rent(Lake): ct`t Right Side: I �� � <br /> Rear (Street): `f`�j Left Side: <br /> �5 � <br /> Adjacent Structures: ��S Wetland: � �� <br /> Building Height: Def. Hgt. �-� k- Peal:Hgt. — <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 /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />