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1 .`� <br /> . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �O CY�NET Pc�c�: <br /> PID: <br /> DESCRIP'TION OF WORK: � �oo F �3�.NQ r��� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �r-I S" �'i d <br /> BUILDING REVIEW BY: ,,� DATE APPROVED: y •t�-,,"'S£�' <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 WAT'ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CI3ECK LIST Zoning District: �12-�3 <br /> Fire Department: �e�vc�(�_� Post Office: � " School District: (��n�O <br /> —�— <br /> Lot Area: Sq.ft. /v'o G/�f�M�QAcres Width ^` Depth ^' <br /> Survey Submitted: Yes x. No Date of Survey: o� r'ic� //-1• 7! <br /> Proposed Setbacks: � , <br /> Front (Lake): b 5 �- Right Side: S�•u "h <br /> t <br /> Rear (Street): )$S �� Left Side: t � r <br /> Adjacent Structures: �4f7'?�}G!'PL-T�j Wetland: /1��/9' <br /> Building Height: Def. Hgt. U.��- Peal:Hgt. '-' <br /> Lot Coverage: U <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 /> �.�• Avg. Setback: Bluff Setback: Lot 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 /> REMARKS (in house): <br /> 7 <br />