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' ' � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS 30 �=p X �-r <br /> PID: � <br /> DESCRIPTION OF WORK N E W (Z-l�5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: �? -�z-o z <br /> BUILDING REVIEW BY.• DATE APPROVED: �, -� z-�z.-. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/' No <br /> PLANREVIEW Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes </ No WATER CONNEC770N <br /> INVESTIGATION FEE Yes No - PARK FEE <br /> SAC Yes �SITE INSPECTION <br /> Number of SAC Units ,j OTHER (specify) <br /> -------------------------------------------------------------------=--------------------------------------------------- <br /> ZONING CHECK LIST Zoning Dismct: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: 8-7-o z <br /> Proposed Setbacks: <br /> Front (Lake): 7 e` Right Side: 2 07' <br /> Rear (Street): �(p Left Side: 6 y . � <br /> Adjacent Structures: /��/� Wetland: /1!I�q <br /> Building Height: Def. Hgt. Z'�i Peak Hgt. ?�'j <br /> Lot Coverage: N I�! <br /> Grading: Staff Approval Date: I� I - v Z By: o��• Council Approval Date: <br /> Septic: Staff Approval Date: ��'—� - �'L By: l'►'�✓-� <br /> Zoning File: # ---� Resolution: # Resolution Date: <br /> Shoreland District: n1 u <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 /> REMARKS(in house): <br /> 32 <br />