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f. . i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�u�� ��� �=�i=�. ��- F�c>r�U <br /> PID: <br /> DESCRIPTION OF WORK: (_;r�.i; �?r-���ti����}r� �:%�-�:,�'�;r� <br /> � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIE�J BY: -���� � DATE APPROVED: i"�-�{ • <br /> BUILDING REVI�;W BY: - --;,�t.:; ,_,_1,,..P..__ DATE APPROVED: Z -ZQ -5 7 <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> i RZONING CHECK LIST Zoning District: <br /> ; <br /> � Fire Department: Post Offce: School District: <br /> I <br /> + Lot Area: Sq.ft. Acres Width Depth <br /> I( Survey Submitted: Yes No Date of Survey: <br /> i <br /> � Proposed Setbacks: <br /> r Front (Lake): Right Side: <br /> ri <br /> i Rear (Street): Left Side: <br /> i <br /> I <br /> ! Adjacent Structures: Wetland: <br /> ; <br /> �� � <br /> ' Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> 1 Grading: Staff Approval Date: By: Council Approval Date: <br /> 1 <br /> � Septic: Staff Approval Date: By: <br /> i <br /> i Zoning File: t� Resolution: # Resolution Date: <br /> i <br /> � Shoreland District: <br /> � Avg. Setback: Bluff Setback: <br /> iExisting Proposed <br /> � Hardcover: 0-75' <br /> �i 75-250' <br /> �`� 250-500' <br /> � 500-1000' <br /> i <br /> ; Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />