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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . A.DDRESS OR LEGAL: _ 3 5 �c� �A�-t� �'�-�/� <br /> PID: <br /> DESCRIPTION OF WORK: (�,q� h�-p� � �i.,r.r�v,q,,,,�C,r- <br /> Z0.�1I�ti G REVIEW BY: DATE APPROVED: -�- Z �-�3 <br /> BUII.,DING REV�� BY: DATE APPROVED; 3-z.�—�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLA1�1 REVIEW Yes t/ No SEWER COivNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: AI U G l-�'1V(� � . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres idth 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: �Vetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lo[Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: � Resolution Date: <br /> Shoreland Distr.ct: <br /> Avg. Setback: Bluff Setback: I.otCoverage: <br /> Ezisting 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 /> RENIARKS (in house): <br /> 7 <br />