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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: g S ���0�9 c.i, G2c,�� <br /> PID: <br /> DESCRIP'TION OF WORK: ������- <br /> ZO�TING REVIEW BY: DATE APPROVED: S'- �lP-03 <br /> BUII�DING REVIEW BY: DATE APPROVED: �, -� `5 -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �,/' No <br /> pL?,N REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST zoning District: iV a c�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres id�h Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Gradin�: 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: L.ot Coverage: <br /> Exisiing Ploposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�iARKS (in house): , <br /> 7 <br />