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- CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ' + � � � -! ; - <br /> PID: <br /> DESCRIPTION OF WORK: ' � ;: �;,� �� ; t- � -.- �� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEV6V BY: -x�'. � �, DATE APPROVED: �'-�'�—`lC� <br /> BUILDING REVIEW BY: � '• -(,,; ? ;��.y� DATE APPROVED: G i Y `t� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <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 /> ZONING CHECK LIST Zoning District: (Z�'•-)�� <br /> Fire Department: Post Off ce: School District: <br /> �G <br /> �nr�..- t Area: Sq.ft. Acres Width Depth <br /> �.t <br /> Survey Submitted: Yes_� No Date of Survey: p�.! 1=��-� <br /> Proposed Setbacks: <br /> Front (Lake): Z�S Right Side: �-(Z � <br /> Rear (Street): /����' Left Side: �r� <br /> Adjacent Structures: ��-�4c,�+-c_-� Wetland: N 1/f' <br /> Building Height: Def. Hgt. Peak 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 /> •' �C Avg. Setback: Bluff Setback: <br /> ��� Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 250-500' <br /> SOO-IOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />