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� , <br /> • ' • � � , CHECK OFF LIST FOR ISSUANCE OF PERMITS ;;, <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: z Z`( o C3 I/v 6,D o�/ �,.� � <br /> PID: <br /> DESCRIPTION OF WORK: �"po/�-r ��.�-� <br /> ----------------------------------------- ------- ------------------------------------ . � <br /> ---------------------------- - <br /> ZONING REVIEW BY: C�� DATE APPROVED• Y � - v o <br /> BUII.DING REVIEW BY: rv r,� DATE APPROVED: <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No ✓ SEWER CONNECTION <br /> STATE SURCHARGE Yes _s� No WATERCONNECTION <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: 22 -4/�' <br /> N� Fire Department: Post Office: School District: <br /> �,� Lot Area: Sq.ft. Acres Width Depth <br /> L <br /> Survey Submitted: Yes�_ No Date of Survey: G N l=��'. <br /> Proposed Setbacks: <br /> Front (Lake): Z .S� Right Side: !c�c> <br /> Rear (Street): S�d Left Side: Z�� <br /> r <br /> Adjacent Structures: — Wetland: 3 S <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 District: <br /> Avg. Setback: Bluff Setback: L,ot 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 />