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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�Q Cf?-I,STY�-� C�`L-`"K- <br /> PID: <br /> DESCRIPTION OF WORK: �jE� (Zr— � <br /> ZOti�i rG REY�`V BY: DAT�APPROVED: �=►c� - �4 <br /> BUILDING REVIE`V BY: DATE APPROVED; �- r o ��5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes (/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO1vI�1G CH�CK LIST Zoning District: (�(�-I(� <br /> Fire Department: �.r �t.�. Post O�ce: V�^'���� School District: l'��/�� <br /> Lot Area: Sq.ft. Acres Z�t Width I�_���� Depth ti-� .S� <br /> Survey Submitted: Yes L No Date of Survey: Z-2 3•S 5 <br /> Proposed Setbacks`. , <br /> Front (Lake): 73•(o Right Side: 3� <br /> Rear (Street): �(�� � Left Side: �6 � <br /> Adjacent Structures: (�I ( (� Wetland: — <br /> � , <br /> Building Height: Def. Hgt. Z S Peal:Hgt. 3 Z <br /> Lot Coverage: /J (� <br /> Grading: Staff Approval Date: S ��d - `J `t By: � Council Approval Date: <br /> � �Septic: Staff Approval Date: 5 '��-��'( By: ���� <br /> Zoning File: # — Resolution: # � Resolution Date: <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> EzistinQ Proposed <br /> b <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />