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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /52 v ��{�,vs ��„�y- <br /> PID: <br /> DESCRIPTION OF WORK: �uc' <br /> ZO�TI�1G REV�W BY: DATE APPROVED: -7 • i 43-o z <br /> BUII.DING REV�W BY: DATE APPROVED; --z _� � -o Z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _�- No <br /> PLAi�T REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes J No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes_ c� No Date of Survey: Drr ►-=�� <br /> Proposed Setbacks: <br /> Front (Lake): )SS� Right Side: 32 <br /> Rear (Street): ( ��t' Left Side: �-{� <br /> Adjacent Structures: �-rt�c..t.w� Wedand: /v !� <br /> uilding Height: Def. Hgt. � /�{ Pea�:Hgt. —� <br /> Lot Coverage: N G <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> �, Septic: Staff Approval Date: By: <br /> N•� Zoning File: # Resolution: # Resolution Date: <br /> ��� <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 />