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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 �2 Z S Fa��R►vess Po�N� L��t,p <br /> PID: <br /> DESCRIPTION OF WORK: S��ll t2,E,�P/�i 2 <br /> ZONING REV�W BY: DATE APPROVED: <br /> BUII.,DING REV�W BY: -1!�/G -c7 - DATE APPROVED: '�-/y-�� <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes No �/ SEWER CONNECTTON <br /> STATE SUR`HARG� Yes �No WATER CONNECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoni.ng District: <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 Se[backs: <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: # Resolution Date: <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> � Ezisting 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 /> • 26 . <br />