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` Y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: i o c�5 �►�c��.wod� i-t►��5 �ZoAn <br /> PID: <br /> DESCRIPTION OF WORK: i2c,�c�-� ��n,o�,e �o� o� �,a.n�� e <br /> ------------------------------------------------ ----------------------------------------------------------------------- <br /> ZONING REVIEW BY: � DATE APPROVED: c� •i i • �S <br /> BUILDING REVIEW BY: DATE APPROVED: � i�- �1 <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 SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: � C.h�u�� <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 ide: <br /> Rear (Street): Left S' e: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: I <br /> Grading: Staff Approval Date: �I By: Council Approval Date: <br /> Septic: Staff Approval Date: ' By: <br /> Zoning File: # Resolution: # I� Resolution Date: <br /> Shoreland District: � <br /> Avg: Setback: Bluff Setb�ck: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> -; <br /> 250-500' i <br /> 500-1000' �', <br /> i� <br /> , <br /> Hardcover Variance Required: Yes No �, Date of Council Approval: <br /> 1 <br /> REMARKS (in house): <br /> ,� <br /> 7 `� <br />