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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ' AI�DRESS OR LEGAL: �(>`-� N"�;,'',�/ J�=c�"-���,�'1 �-r.�c: � <br /> PID: <br /> DESCRIPTION OF WORK: N��,,; l_��-�'�,��,�v ,/���•^.���,�'� <br /> ZO.�tI�i 1G REVIEW BY: ti I� DATE APPROVED: <br /> BUII.DL�1G REV�W BY: ,; ;, ti��,.� DATE APPROVED: � -> > �5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No � <br /> PLAN REVIEW Yes ;/ No SEWER COivNECI'ION <br /> STATE SURCHARGE Yes c/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) ; <br /> ------------------------------------------------------------�-`-�----/------------------------------------- <br /> i <br /> ZO�1G CH�CK LIST Zoning District: ��' C-( � L < �i <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 /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Buildin�Height: Def. Hgt. Peal: gt. � <br /> Lot Coveraje: ' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <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 /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />