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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z3ti c� �=o x s-�- <br /> PID: <br /> DESCRIPTION OF WORK: K�r��-�`�� +� r3A�-t� �'k.r�w o.=L. <br /> ZO�tG REVIEW BY: /`J(� DATE APPROVED: <br /> BUII�DI�i 1G REVIEW BY: DATE APPROVED; � r��z�•0 2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAi�t REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: N n GHi+nE(,� <br /> Fire Department: Post Office: School District: <br /> L,ot Area: Sq.ft. Acres Width 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: Wet d: <br /> Building Height: Def. Hgt. Peal: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 Setback: Lot 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 /> REI1rIARKS (iIl hOUSe): <br /> 7 <br />