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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3z3 0 (3c�+us �o,•-►� C� <br /> PID: <br /> DESCRIP'TION OF WORK: ��c� s-rr�,�„S <br /> ZOrTti G REV��V BY: DATE APPROVED: �- Z o -�S <br /> BUILDING REVIE`V BY: DATE APPROVED: �• 2�- o�' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No �/' / PARK FEE <br /> SAC Yes No t/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�G CHECK LIST Zoning District: O.K o(L Nc� C,� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wi Depth <br /> Survey Submi[ted: Yes No Date f Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adiacent Structures: Wetl d: <br /> Building Heioht: Def. Hgt. Peal: gt. <br /> Lo[ Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin; Fue: # Resolution: # Res ution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <br /> E�istin� Proposed <br /> b <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ate of Council Approval: <br /> REI�SARKS (in house): <br /> n <br />