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. . <br /> ' CI3ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �G �d��z ,��.C�'��.�- �`t.J <br /> PID: �l- ll�Q�-�3 �?� „�'D O�' <br /> DESCRIPTION OF WORK: ' �� .��-�� F-_�; ;�< _�, ;z��_,� - ,'�•�, ; <br /> ZONING REVIEW BY: DATE APPROVED: 7- 3� �� <br /> BUILDING REVIEW BY: DATE APPROVED: �7- 3c� S7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes _� No SEWER CONNECTION <br /> STATE SUR��IARGE Yes �� No WATER CONNECTION <br /> INVESTIGAZ'ION PEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (Ll�� i l�1 <br /> Fire Department: L�L-• Post O�ce: L '�- School District: O�'�NJ <br /> Lot Area: Sq.ft.No c_ii-�u;� Acres — Width Depth — <br /> Survey Submitted: Yes� No Date of Survey: G1N ��(2 <br /> Proposed Setbacks: � <br /> Front (Lake): _ l gU -L- Right Side: �i�c�i k <br /> Rear (Street): (y 2,� 3= Left Side: �v ' <br /> Adjacent Structures: ��` Wetland: n1 �A <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> ��- Shoreland Dist:ict: <br /> � Avg. Setback: Bluff Setback: L.otCoverage: <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 /> � 26 <br />