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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �9 L � ���.t:C�.. i�'-� �•= �1L��L <br /> PID: <br /> DESCRIPTION OF WORK: `�� �'���, ���.��� - ��-s <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: '�-�2:,,..�. DATE APPROVED: �-i � �7 -`�`7 <br /> BUILDING REVIEW BY: -- ' •� -,,,._._ DATE APPROVED: <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 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: t;,/' -I�> <br /> Fire Dep<�u�tment: t'_,c;+v�(,4-��- Post Office: �'Tll��-� School District: �%r�=�-'��=% <br /> Lot Area: Sq.ft. i4� CM'�r�,(� Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: �;,,v #���', <br /> Proposed Setbacks: <br /> Front(Lake): �'�S �'—� Right Side: i�C: � � } <br /> Rear (Street): f Z�= `I- Left Side: l�t% <br /> Adjacent Structures: (`T'�ui"�-� Wetland: /l�' //� <br /> Building Height: Def. Hgt. ��• (�- Peal:Hgt. '- <br /> Lot Coverage: i� �f� <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 /> � <br /> REMARKS (in house): <br /> 7 <br />