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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�-13 S C�5 i?�t ��4� f�-m�-►'� <br /> PID: <br /> DESCRIPTION OF WORK: —C�u,�� G � <br /> ZONING REVIEW BY: DATE APPROVED: '7- rv - �3 <br /> BUILDING REV�+W BY: DATE APPROVED: � -r o-G 3 <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 P�1RK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOti�Il�1G CHECK LIST Zoning Districr. /1/6 C�f�� <br /> Fire Department: Post Office: School District: <br /> Lo[Area: Sq.ft. Acres Wid�h 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: Wetland: <br /> Building Height: Def. Hgt. Peak 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: <br /> Av�. Setback: Bluff Setback: L.ot 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 /> REVIARKS (in house): ��3 u ��� (,� �.�sNc,o -P� (3 T��.�:z <br /> O/�! C-7Z i sTi�6 Sc�j — <br /> 7 <br />