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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �0-7 � �q Qv�L w �q N L <br /> PID: <br /> DESCRIPTION OF WORK: �,p�qc�: �p.e.�� C3 oAn�S r4 j2..�,�,,,.� <br /> ZONING REVIEW BY: �✓� DATEAPPROVED;wMwY��_ <br /> BUILDING REi�IEW BY.• DATEAPPROVED: 6-c 6_o r� <br /> __--------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes IVo �/ SEWER CONNECTIOIV <br /> STATE SURCHARGE �'es � No GYATER CON7VECTION <br /> INVESTIGATION FEE Yes No_� PARK FEE <br /> SAC Yes No c� SITE INSPECTION <br /> Nirmber of SAC Units OTHER (specify) <br /> -----------------------------------_----_—__ <br /> ZONING CHECK LIST Zoning District: (/1,lv G�..y�.W� <br /> Fire Department: _ Post O�ce: School District: <br /> Lot Area. Sq ft. Acres GGtdth Deptlz <br /> Survey Sa�bmitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Y�' land: <br /> Building Height: Def Hgt. Pe k Hgt. <br /> Lot Coverage: <br /> Grading. S�aff,�lppr•oval Date: By CouncilApproval Date: <br /> Septic: StaffApp�roval Date: gy: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �L/C[�D Pe�-mit: <br /> .Avg. Setback: Bla�Setback: LotCoverage: <br /> F�isting Proposed <br /> Nardcover: 0-7.i' <br /> 75-?50' <br /> 2�0-.i 00' <br /> .i 00-1 D00' <br /> Hardcover 1 ar�iance Requir-ed: 3'es �'��`o Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />