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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE Q,NLY <br /> ADDRESS OR LEGAL: �.�.��U ��i� �}��—� �:��-t-�� <br /> PID: <br /> DESCRIPTION OF WORK: ,'��s�.�ti�'�� F��c�t �st� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: _ N i `� � DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: �'-�� ,`i� <br /> ---------------------------------------------� ------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`I-iARCr� Yes �� No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width 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: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> i <br /> Lot Coverage: <br /> ,r � � Grading: Staff Approval Date: By: Council Approval Date: <br /> N <br /> Septic: Staff Approval Date: BY� <br /> � <br /> Zoning File: # Resolution: # Resolution Date: <br /> � Shoreland Dist:ict: _. <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 /> , 26 <br />