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- ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z.S z� YJ v n� w c�o o� <br /> PID: <br /> DESCRIPTION OF WORK: r'„v�s�t v�/1.� �'t�e.� d� �iy�.t�.� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: /v/y4 DATE APPROVED: <br /> BUILDING REVIEW BY: `' DATE APPROVED: �.- i� -o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> � <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTTON <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: �O G/,�qy,�c,p <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres W' th Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <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: �# Re olution 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 /> REMARKS (in house). � l.vo(l.rL Si.�J1UZ� rr�<�o�r P��'Ltin� �' <br /> 7 <br />