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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�3�5 ��6 c;�2rv-es S �o„�.�T (Z.o� <br /> PID: <br /> DESCRIPTION OF WORK: S��N o/t-�t-� o.•� �x �s�-rK� �.�v� <br /> --------------------------------------------------- ------------------------------------------------------------------ <br /> ZO1�I�1G REVIEW BY: DATE APPROVED: _q - 5-- ao <br /> BUILDING REVIEW BY: DATE APPROVED: �i -5_vJ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes v� No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ 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 Districr. �v v C��J � <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 Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. Pe � Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : I.ot 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): � <br /> i <br /> �` <br /> 7 <br />