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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: „h_ �; C�,:..,.�..�, , �l �� C i ,�l l''�r��. �,�if- ; �� ".s'.}l. <br /> PID• `f- � i � - /. � / � GCG/j�� <br /> DESCRIPTION OF WORK: �.�,%,{��,., r, ,; E,.,����,��—�'. , l�I ,�s,x � ��:, �J,��� ,r-� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEV�J BY: �v I�a DATE APPROVED: 5 � 2�-`iG. <br /> BUILDING REVIEW BY: � �,�,,,,�,,,______________DATE APPROVED-___-� �z'7��L-- <br /> -------------------------------------------�---------- - ----------------- <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 CONNECTTON <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: <br /> Fire Department: Post Offce: 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 /> Rear (Street): Left Side: <br /> � Adjacent Structures: Wetland: <br /> �i. <br /> � �^+,? Building Height: Def. Hgt. Peak Hgt. <br /> "5.��. <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: <br /> �I Existing Proposed <br /> � Hardcover: 0-75' <br /> �i 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): C.o,v�-rr¢�� ��,� r- Sr�,,; �L,;-� p�sc���;.:., �-��;,,_ <br /> 10 <br />