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� � � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z S Gy�N ET P�t�. <br /> PID: <br /> DESCRIPTION OF WORK: ���p �b x i2 <br /> -------------------------------------------------- --------------------------------------------------------------------- <br /> ZONII�IG REVIEW BY: � DATE APPROVED: 5 - � o -�.`� <br /> BUILDING REVIEW BY: DATE APPROVED: 5 - I �-`c9� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECT`ION <br /> STATE SURCHARGE Yes !/ 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: 22�1 b <br /> Fire Department: �/�-�= Post Office: (p�vf� School District: O��'v <br /> Lot Area: Sq.ft. ivo Gc�1�cAcres � Width — Depth — <br /> Survey Submitted: Yes� No Date of Survey: t�N t= � v <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): �O Left Side: � l7 <br /> Adjacent Structures: �•�� Wetland: <br /> Building Height: Def. Hgt. �� , (� Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Appro 1 Date: By: Council Approval Date: <br /> Septic: Staff Approval ate: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0 75' <br /> 7 -250' <br /> 25 -500' <br /> 5 -1000' <br /> Hardcover Variance equired: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />