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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�z� r-�� �T��� <br /> PID: <br /> DESCRIPTION OF WORK: �sZ.-cZ 5��-rc- /l3a;,-�r�� f�-�ww�e�- <br /> ZO�tIt�1G REVIEW BY: DATE APPROVED: �� 3 i•o y <br /> BUII.,DING REVIEW BY: DATE APPROVED; 3 . ��-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIEW Y�e�- No � SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATE�ZCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC"TION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: o c .Q . <br /> Fire Department: Post Office: School District: � <br /> Loe Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No �ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz (Street): L.eft Side: <br /> Adjacent Structures: Wetland: <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: L.ot 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 /> 7 <br />