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CHECK OFF LIST FOR ISSUANCE OF PER��lITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 7 S�S (Vo• F�2►.��A�� <br /> PID: ' <br /> DESCRIPTIONOFWORK We'rc�.�� ���,�-_—� o,.> <br /> ----------------------------------------�5�-----------------------•�---------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �- 3 -�Y <br /> BUILDING REVIEW BY.• N� � DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: `°�"��-� ����`` � Fees Calculate�By: <br /> isc. <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (Z R� � � <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width j3� Depth �l K7 � Y' <br /> Survey Submitted: Yes_ � No Date of Survey: �2,-1�(-O 1 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> N . a4, <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: ,S- 3 ��`T By: -��• Council Approval Date: <br /> Septic: Staff Approval Date: N /13 By: <br /> Zoning File: # �l-Z`1 b S Resolution: #t S!i � Resolution Date: Z-23 'a y <br /> Shoreland District: N� <br /> Avg. Setback: Bluff Setback: Lot 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 /> 32 <br />