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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 t U Q t 6 =.s t.,q,�.,,� <br /> PID: <br /> DESCRIPTION OF WORK: �2 x Z.c� s�-t�:O <br /> ---------------------------------------- ------------------------ - ----------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: �- 1� - c�2 <br /> BUILDING REVIEW BY: DATE APPROVED: R - �� -c�z <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 PARK 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 oC No Date of Survey: y-l�1- �r�0 <br /> Proposed Setbacks: � <br /> Front (Lake): /5 Z �' Right Side: �l`i� '� <br /> Rear (Street): �{y� + Left Side: 1 3� } <br /> Adjacent Structures: Z�` �'Vetland: N f/� <br /> Building Height: Def. Hgt. �3 Peal:Hgt. i3 <br /> Lot Coverage: ni'//� <br /> Grading: Staff Approval Date: '" By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: �f — Resolution: # Resolution Date: <br /> Shoreland District: 4 _j <br /> Avg. Setback: v� Bluff Setback: �I.Q Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' ���C' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />