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'w <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l t��ti� (-�c_�.-�ti r, l���v: kx:,F� <br /> PID: <br /> DESCRIPTION OF WORK: r��,S i-+ r�t�fi�L <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIE�I BY: /U T A DATE APPROVED: <br /> BUILDING REVIEW BY: � ;� _ � > DATE APPROVED: � i -�l'- �i L <br /> ------------------------------------------� --------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v- 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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Offce: 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 Side: <br /> � Rear (Street): Left Side: <br /> � �� <br /> � '�� 1 Adjacent Structures: Wetland: <br /> �` <br /> � �I Building Height: Def. Hgt. Peak Hgt. <br /> � <br /> � Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By: <br /> i <br /> � Zoning File: #{ Resolution: # Resolution Date: <br /> r' Shoreland District: <br /> . Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> ' Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> i 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />