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.�.. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�� S (�L.�l�/v Lr�N c <br /> PID: <br /> DESCRIPTION OF WORK: oo� <br /> ZONING REVIEW BY: DATE APPROVED: 3-z -o Y <br /> BUILDING REVIEW BY: — 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 � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <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: �(- ((. l�y� <br /> Proposed Setbacks: <br /> Front (Lake): I oo� + Right Side: t o 0` '� <br /> Rear (Street): 1(�a � ± Left Side: �5d` '` <br /> Adjacent Structures: �Z � Wetland: /U�14� <br /> Building Height: Def. Hgt. /J �/.I Peak Hgt. <br /> Lot Coverage: m. ,k. <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: r.►�n <br /> Avg. Setback: Bluff Setback: L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-]000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br />