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! <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S o'� FE tZN/J Au� 2o Ap n+02�-► <br /> PID: <br /> DESCRIP'I'IONOFWORK: �nr,.,E oR��,ewAti - ,�oo (�e2w. �o� c�.���c �,�R,�S <br /> ZONING REV�W BY: DATE APPROVED: -1- Z 3-S� <br /> BUII�DPi 1G RE`VIEW BY: DATE A.PPROVED: �-23-S 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT — C�Rv�p wJC Yes � No <br /> PLAN REVLEW Yes No SEWER CONNECITON <br /> STATE SUR`HARG� Yes No WATER CONNEG"ITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> �ONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No_ C� Date of Survey: <br /> 5 t� ��� QNc� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: �—Z$- �r7 By: �. Council Approval Date: � <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland DisL ict: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> � Existing 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 /> REMAR]KS (in house): <br /> • 26 . <br />