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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y7 5 FG-72NOi9 w �v� <br /> PID: <br /> DESCRIPTION OF WORK: r�ti'c, <br /> ZONING REVIEW BY.• (/�- DATEAPPROTTED:��W��w`_ <br /> BUILDING REVIEW BY: DATEAPPROVED: .s�-6 -�v <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: "�---"_________ <br /> PERMIT Yes�� No <br /> PLAN REVIEW Yes No c-� SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �J Cc i-,�,,.. � -------"�___�_�__ <br /> Fire Department: Post Offce: School District: <br /> Lot A��ea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fronl(Lake): Right Side: � <br /> Rear(Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def Hgt. P ak Hgt. <br /> Lot Cover�age: i <br /> � <br /> Grading: StaffApproval Date: B� Council Approval Date: <br /> �5�a...% <br /> Septic: StaffAppi-oval Dale: Fp!" ��([It.tJ S�ISkMBy: \ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: CWD Permit: <br /> Avg. 5etback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-7.i' <br /> 75-2.i0' <br /> 250-.i 00' <br /> 500-1000' <br /> Hardcover Y'ariance Required: 3 es No Date of Council App�-oval: <br /> REMARKS(in house): <br /> � <br /> 33 `� <br />