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f . � <br /> '�, - <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: 2�l�� (��,�o,Q,�„, �,w '�(L <br /> PID: <br /> DESCRIPTION OF WORK: ,q�,.evva�.� F„vi S� ( P-Q. o�t,,�,�,v� n u�,�r� o.� ��(e) <br /> ZONING REVIEW BY: DATE APPROVED: ( •S -o 0 <br /> BUILDING REVIEW BY: DATE APPROVED: � . S - d� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <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: �o G�� <br /> Fire Department: Post Office: School District: <br /> L.ot 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 /> Adjacent Structures: W land: <br /> Building Height: Def. Hgt. Pea 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): <br /> j <br /> 7 <br />