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� � CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> , FOR OFFICE USE ONLY <br /> - ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: <br /> Z0�1ING REVIrW BY: DATE APPROVED: <br /> BUII,DING REVIEW BY: DATE APPROVED: <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 WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZOti�ING CHECK LIST zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Widch 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 /> BuildinJ HeiQht: Def. Hgt. Peak Hgt. <br /> Lo[ Covera�e: <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 /> Av�. Setback: Bluff Setback: I.otCoverage: <br /> Existing Proposed <br /> Hardco�:er: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): _ <br /> 7 <br />