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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � ��;j l���,x�'�-2.��.c.�?.� .i ,�ecc� <br /> PID: � <br /> DESCRIPTION OF WORK: �c:C..Y_,.S <br /> ----------------------------------------�-;-----r-------------------------------------------------------�-r�-��---- <br /> ZONING REVIE�I BY: �l� �ew— DATE APPROVED: <br /> BUILDING REVIEW BY: ,,,_ DATE APPROVED: y- �S�r u <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �c 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: (Z►2��P� <br /> Fire Department: (�r�C�`l,Ac� Post Offce: (�ns�c� lJkic.� School District: Of21Lti� <br /> Lot Area: Sq.ft. /Vo Gr�qn�G�� Acres Width Depth <br /> Survey Submitted: Yes x No Date of Survey: ON �=��1 ta �Yr• y(� <br /> Proposed Setbacks: � <br /> Front (Lake): �1(� Right Side: �� � <br /> Rear (Street): ?�� Left Side: 1 f.S � } <br /> Adjacent Structures: �}��t�L'"'� Wetland: /�(�W <br /> Building Height: Def. Hgt. �;�� Peak Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> ��. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SJO-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />