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, , 4.. <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -��s w . f=C IZrti1 t��4 u_: <br /> PID: <br /> DESCRIPTION OF WORK: ___(�/},Z/-1Coc� rA�O�p �-r-�o� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: ,S-y -5 f1 <br /> BUILDING REVIEW BY: DATE APPROVED: s- �( -S a <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /�(L -/3 <br /> Fire Department: Post Office: wq.�,, Z. School District: �,.l,AM Z . <br /> Lot Area: Sq.ft. Nv G Acres — Width � Depth — <br /> Survey Submitted: Yes o� No Date of Survey: onr t=i c.�? <br /> Proposed Setbacks: � + � � <br /> Front (Lake): �� – Right Side: ��7 <br /> Rear (Street): � 37 � �- Left Side: Z C�D� '�"' <br /> Adjacent Structures: �rr�c,4r�:-1� Wetland: 2-1`J <br /> Building Height: Def. Hgt. 0•�� 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 /> � 1 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 />