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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 p�o �=�R.V l L.W LI�N L. <br /> PID: <br /> DESCRIPTION OF WORK: Cu:vw����.�-- <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> �ONING REVIEW BY: N I� DATE APPROVED: i <br /> BUILDING REVIEW BY: DATE APPROVED: �z-z.9- �`t <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 c� No WATER CONNECTTON <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 District: No G tt�r/q Q <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 S de: <br /> Rear (Street): Left Si e: <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 District: <br /> Avg. Setback: Bluff S tback: Lot Coverage: <br /> Existin 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 /> 7 <br />