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. � , � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3 u � X ,—��-�,2�� <br /> PID: <br /> DESCRIPTION OF WORK: o u 1 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: Q DATE APPROVED: y- y - v o <br /> BUILDING REVIEW BY:c� DATE APPROVED: y- y �o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �C 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: 2R•�Q <br /> Fire Department: (,�v f� Post Off'ice: �.oti, fu.' School District: olLoNv <br /> Lot Area: Sq.ft. �vo u�N� Acres — Width — Depth — <br /> Survey Submitted: Yes �c No Date of Survey: o� t=+c.` <br /> Proposed Setbacks: <br /> Front (Lake): J`1.0� �' Right Side: f 3 J� 5 <br /> Rear (Street): ,�0 f Left Side: � � � <br /> Adjacent Structures: �p Wetland: {U��- <br /> Building Height: Def. Hgt. �/�/fi Peal:Hgt. ` <br /> Lot Coverage: N�A <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: V. 1� Bluff Setback: L.otCoverage: <br /> I� Existing Proposed <br /> G' Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />