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� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'��„rT.�, Sj� <br /> PID: <br /> DESCRIPTION OF WORK: IY�,�' ��^+�_ <br /> ------------------------------------------------ --- --------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: N//'� <br /> BUILDING REVIEW BY: DATE APPROVED: g - b •O J <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 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: N C.� � <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Sur��ey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: " <br /> Grading: Staff Approval Date: B � Council Approval Date: <br /> � <br /> Septic: Staff Approval Date: By� <br /> Zoning File: # Resolution: #� Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: F Lot Coverage: <br /> Existing ` Proposed <br /> Hardcover: 0-75' �' <br /> 75-250' � <br /> 250-500' � <br /> 500-1000' �ir <br /> (, <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> �r <br /> REVIARKS (in house : � <br /> � � �A t� � <br /> w/���►�ii �20�.�. <br /> � <br />