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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: I�I� 1=/-�G�2NCss �oc� �� <br /> PID: <br /> DESCRIPTION OF WORK: �--�-A�n„NG wAc.c� 2�Pca�.vn�•.� <br /> _____— __________-------------------------------------------S- i fr--o----- <br /> Z0.�1I�ti G REVIEW BY: �Q DATE APPROVED: � <br /> BUII..DING REV�W BY: DATE APPROVED; S-� -� OL <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAi�t REVIEW Yes _�C. No �/ SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOIVI�TG CH�CK LIST Zoning District: /vo C <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 'de: <br /> Rear(Street): Left Si e: <br /> Adjacent Structures: I Wetland: <br /> i <br /> Building Height: Def. Hgt. j Peal:Hgt. <br /> � <br /> i <br /> Lot Coverage: i <br /> � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: S[aff Approval Date: �� By: <br /> Zoning File: # Resolution:�# Resolution Date: <br /> Shoreland District: 1� <br /> Avg. Setback: Bl�ff Setback: L.ot Coverage: <br /> E�sting 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 /> � <br /> REMARKS (in house): �� <br /> � <br /> ' 7 <br />