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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 21 (o p �(—z� lzcl�t �1�4�t C= <br /> PID: <br /> DESCRIPTION OF WORK: � (J�L <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: I 2.-c,-o � <br /> BUILDING REVIEW BY: DATE APPROVED: � Z •G-a� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/� No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes f— No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONINCT CHECK LIST Zoning District: No C�y��v�� <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: Wetl d: ,�'' � , � <br /> �/ - ` <br /> Building Height: Def. Hgt. Peak gt. � >��_ <br /> Lot Coverage: � � <br /> . ��. <br /> Grading: Staff Approval Date: B : C �� <br /> Septic: Staff Approval Date: B : <br /> . ,. � ��>.� <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 />