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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 Z"r3 t� t=o x sT <br /> PID: <br /> DESCRIPTION OF WORK: �-�,,.�,�.e� <br /> ZO.vI�1i G REV�W BY: N/ DATE APPROVED: <br /> BUII,D�G REVIEW BY: DATE APPROVED: q-�- o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No � SEtiVER COi�IiVECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO��tIVG CFI�CK LIST Zoning Districc: No C _ <br /> Fire Department: Post Off e: School District: <br /> Lo[ Area: Sc.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Righ[�Sdde: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Hei�ht: Def. Hgt. Pea.k Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Da[e: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: Lot Co��erage: <br /> E�is Q Proposed <br /> � <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REi�IARKS (in house): <br /> � <br /> � <br />