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�t . � <br /> . ' , ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE O�1LY <br /> ADDRESS OR LEGAL: /SZo �3ohrv�s ✓�<•ti�` /�v>�J , <br /> PID: <br /> DESCRIPTION OF WORK: /V�t,� /j,�� � /,�„ ��„ <br /> ------------------------------------------------- -------------------------------------------------------------------- <br /> ZONIl\�G REVIEW BY: DATE APPROVED: s` • Z3. oz <br /> BUILDING REVIEW BY: DATEAPPROVED: �. z3- �. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVES"'�� TATION FEE Yes No � PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> NumY �f SAC Units OTHER (specify) <br /> --------_ ---------------------------------------------------------------------------------------------------------- <br /> ZONI: s CHECK LIST Zoning District: � o �f�yl�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid Depth <br /> Survey Submitted: Yes No Da e of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. 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): �e�,�� �sF�,o —� �v e� (�,,,�-{�2 <br /> ND ,=�e <br /> 7 <br />