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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDI�ESS OR LE(iAL: 2375 ��=11iN C..w•�vL <br /> PID: <br /> DESCRIPTION OF WORK: t7,Erv�,o p�L + A�Jn� �n a�� <br /> ZONING REVIEW BY: DATE APPROVED: y- 3� - o�( <br /> BUII.DING REVIEW BY: DATE APPROVED: Y � 3 0 - o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes�L No SEWER CONI�`ECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �- PARK FEE � <br /> SAC Yes No �� SITE INSPECT[ON <br /> Number of SAC Units OTHER (specifi-) <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: �{-2-�-O <br /> � PORTLJN JP (�I�'Tric"Q �y d�.uN�(�j�` <br /> � � <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> l:y�Cno.�s w�w�rvv�wts <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: -- <br /> Grading: Staff Approval Date: — By: Council Approva( Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # -r Resolution: # Resolution Date: <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: L o t C o �• e r a g e : <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 />