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r <br /> . � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��>�7 � C-I�'�-5 r�v1�_ t��;��� G���-�,� <br /> PID: <br /> DESCRIPTION OF WORK: ���(,� �,�:�� �?L���,('� <br /> ------------------------------------------------- -�, <br /> ----------------------- <br /> -------------- -------------------:�-------- <br /> ZONING REVIEW BY: J � DATE APPROVED: �cr� <br /> BUILDING REVIEW BY: , -%, ,.�.��,_..-- DATE APPROVED: ; 2-i � -U, <br /> '-__-""'_'__------'--__"'-----_"'---�---F_"'_--'-"""_'----""-----"'----"_-----'-----"_----'---------------- <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 WATERCONNECT'ION <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: r'�`�� C"�-/�4�1;��,.0 <br /> �.. <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: Wetl d: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br /> _. � <br /> 7 <br />