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J . . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 19�O F o x �2��pc��. 2s�A�p <br /> PID: <br /> DESCRIPTION OF WORK: 2� ��2�, AAA ��no►�.J <br /> --------------------------------------------- ----------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �-r�, -vo <br /> BUILDING REVIEW BY: DATE APPROVED: � . �� •�o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONIl�'G CHECK LIST Zoning District: 2(2 -� (3 <br /> Fire Department: ,v /GE Post Office: � School District: d2�s�c� <br /> Lot Area: Sq.ft. /U� C/.�n�( Acres Width Depth <br /> Survey Submitted: Yes _ � No Date of Survey: �{- 5 -Q(P <br /> Proposed Setbacks: . <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> �o"b <br /> Lot Coverage: <br /> � <br /> ��, �� Grading: Staff Approval Date: By: Council Approval Date: <br /> Q <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 /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />