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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � 7/ S� C��-��.�L�����- �,ti (.�J <br /> PID• C''S/- �� 7 - ;t " �' Oo/ <br /> DESCRIPTION OF WORK: �;�,,,Le���.;x ��.��. <br /> —� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: 7 -1�-��7 <br /> BLTILDING REVIEW BY: � �` DATE APPROVED: �--i 1 -��7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes r� No SEWER CONNECTION <br /> STATE SUR`I�ARGL Yes ,� No WATERCONNECTION <br /> INVESTIGAZ'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _.----------------------------------------------------------------------------------------------------------------------- <br /> J 1 ONING CHECK LIST Zoning District: <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 Setbacks: <br /> Front (Lake): _ Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> A�'I� ,v . <br /> ,�,1'� � Building Height: Def. Hgt. Peak Hgt. <br /> � l <br /> (f � Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By: <br /> � <br /> I <br /> � Zoning File: # Resolution: # Resolution Date: <br /> � Shoreland Dist=ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> � <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house):��'?;u.`.�S (���-r�S �7`15 3 ��G,�- t{ <br /> � 26 <br />