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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3`i�y cAs-r v�c�-�. s i <br /> 4PID: <br /> DESCRIPTION OF WORK: iq�� � �-t o,.� o v-e. cx �sr o�-n o� u <br /> ' v s.2 <br /> ZONING REVIEW BY: DATE APPROVED: /!- d -n0 <br /> BUILDING REVIEW BY: �,_ DATE APPROVED: (( -�y -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes t/' No SEWER CONNECTION <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: N'v C/-1�4N-rj { <br /> ✓ <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 Si e: <br /> Rear (Street): Left Sid • <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. al: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 Setb ck: L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />