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, " CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�$c�0 Go��.szrt�5�� �2 <br /> PID: <br /> DESCRIPTION OF WORK: ,qpo 17�aN <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: /�-z�-�+43 <br /> BUILDII�'G REVIEW BY: DATE APPROVED: ��• z7 -t�s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes v� No WATER CONNECTION <br /> INVESTIGATION FEE Yes �No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIl\G CHECK LIST Zoning District: �R - I g <br /> Fire Department: (p a � - Post Office: Go School District: Qf1��'� <br /> I.ot Area: Sq.ft. /Vp 4rv Acres Width — Depth � <br />� Survey Submitted: Yes X No Date of Survey: (0 •30-9 43 <br /> Proposed Setbacks: <br /> Front (Lake): Z�' � Right Side: 33•S <br /> Rear (Street): Zl5 � � Left Side: Z�{$� � <br /> Adjacent Structures: �q TT�AC t-1 c:.� Wetland: /�((/�- <br /> Building Height: Def. Hgt. � •t G � Peal:Hgt. — <br /> Lot Coverage: /�l(/} <br /> Grading: Staff Approval Date: — By: .— Council Approval Date: � <br /> Septic: Staff Approval Date: —' By: '" <br /> Zoning File: # '— Resolution: # — Resolution Date: —' <br /> Shoreland District: t�(� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />