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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 125 N�• t=c R���O w,�.�� R-�� <br /> PID: <br /> DESCRIPTION OF WORK: 62�,� ,,.J-� `�f � �,.. on-e.f� <br /> ZOr'L\'G REVIEW BY: DATE APPROVED: .5-3-�� <br /> BUII.DING REVIEW BY: DATE APPROVED: �- �-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes '� No SEWER CONNECITON <br /> STATE SURCHARGE Yes `' No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONLi�G CH�CK LIST Zoning District: /�U �i�G� <br /> Fire Depar[ment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth 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: Wet and: <br /> Building Heigh[: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: L.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 /> REMARKS (in house): <br /> 7 <br />