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, . <br /> . , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � 2,2 0 ��c k,�-� �o r n�T <br /> PID: <br /> DESCRIPTION OF WORK: �vtn o�L,-Z -- t � {_-Lo��2 <br /> ZO.�i G REVIEW BY: r! i4 DATE APPROVED: <br /> BUILDPIIG REVIE`V BY: DATE APPROVED; I r • z.�_o t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No . <br /> PLA��t REVIEW Yes ✓/ No SEWER CONNECITON <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 /> ZONING CI�CK LIST Zoning Districr. No Gl�f�1N[�e <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 Side: <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: Def. Hgt. Peal:Hg . <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> ZoninF File: # Resolution: # esolution 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): <br /> 7 <br />