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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE O`�NLY <br /> � ADDI2ESS OR LEGAL: � � C� <• Q o�..w s 14����..r� <br /> PID: <br /> DESCRIPTION OF WORK: `r Y�ct-'-�2ti�2 (�-c.w�.�r�e� �+ �,,��,..�a,,,,5 �T �-�,'''�^� <br /> ------------------------------------------------------------------------------------------------------------------------1 <br /> ZONING REVIEW BY: /`��� DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: S--i� -� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v� 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 /> ZONI��TG CHECK LIST Zoning District: N� Li���-� <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 /> Front (Lake): Right Sid : <br /> Rear (Street): Left Side <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak 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 Setb ck: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br />