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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �.-1 �,c:� L�,�,,,�.,�i, s.,.�; �� <br /> PID: <br /> DESCRIPTION OF WORK: �);rc�� o�.-�.:-� -, �n �,ti' <br /> -----------___—_--____------- --�--------------------------------------------------------------------- -- <br /> ZO�G REVIE`V BY: _ L DATE APPROVED: �- 2�r ��'�� <br /> BUII..DING REVIE`V BY: ` � . � DATE APPROVED: `t- �y - �-,- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes / No <br /> PLAN REVIEW Yes No SEWER CONIVECT`ION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZOYIYG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes_�� I�10 Date of Survey: c:N ;=�C.,�: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> �L Ad;acent Structures: Wetland: <br /> (�` <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera;e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /r,f.% <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REviARKS (in house): <br /> � <br />