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� � CHECK OF'F LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: —7 ti S �'c�CZ t��O,q� R�,�.r> <br /> PID: <br /> DESCRIPTION OF WORK: �,�,�� <br /> ZOrTvi G RE'VIEW BY: DATE APPROVED: 3•z�- �3 <br /> BUILDING REV�W BY: DATE APPROVED; 3_z,� -c�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1�iIT Yes _�� No <br /> PLAi�1 REVIEW Yes ,/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes _�/ No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ c� No Date of Survey: o� 1=i u� <br /> Proposed Setbacks: <br /> Front (Lake): I`�c�� �= Right Side: 3�+ � � <br /> Rear(Street): SC�o � + Left Side: 36' � <br /> Adjacent Structures: �c�' +� poo < <Vetland: N(/1 <br /> Building Height: Def. Hgt. — Peal: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 Distr.ct: /vJ <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <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 /> RE�IARKS (in house): <br /> 7 <br />