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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (Z.`a0 BF1�4C�c�S 'Po i N� <br /> PID: <br /> DESCRIPTION OF WORK: �Z�,ww�n eZ <br /> Z0�1ING REVIEW BY: N I � DATE APPROVED: <br /> BUII�DING REVIEW BY: DATE APPROVED: 8 -b -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOr�ING CHECK LIST Zoning District: N d c�n�C,�- <br /> / <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 Se[backs: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peak�gt. <br /> i <br /> Lot Coverage: �i <br /> i` <br /> Grading: Staff Approval Date: By: �I Council Approval Date: <br /> Septic: Staff Approval Date: By: � <br /> �— <br /> Zoning File: # Resolution: # �Resolution Date: . <br /> � <br /> Shoreland District: <br /> Av�. 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 I�10 Date of Council Approval: <br /> RENIARKS (in house): �. <br /> 7 . <br />