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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��O, (--c�x S% <br /> PID: � � <br /> DESCRIPTION OF WORK: (�LL�-,W��L <br /> ------------------------------------- -------- - -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: y-ci - �r �i <br /> BUILDING REVIEW BY: DATE APPROVED: Y- � �S S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes [/' No <br /> PLAN REVIEW Yes v' 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: /U o �tf�iri/G� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Sid : <br /> Rear (Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eal: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 District: <br /> Avg. Setback: Bluff Set ack: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> , <br />