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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: P� r� �u - ��� -z 3 3� o o i �b <br /> PID: <br /> DESCRIPTION OF WORK: C-NT�r,a..�c� �vLo�.v,,...,,�s <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �P�,,{� �Qr,�„� DATE APPROVED: _ �,. �z•�� <br /> BUILDING REVIEW BY: �,,,,,,� (Q�„�,y DATE APPROVED: �- r z -o L. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�/' No <br /> PLAN REVIEW Yes �/' No SEWER CONNECT'ION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No ✓ Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: ,,,� <br /> pn� (Jtl-�v.wn: YlA <br /> Rear (Street): Left Side: �rJ �'�' �"� • ���� �r`�'"'�" <br /> Ly,1�e OF- TA�2 <br /> Adjacent Structures: Wetland: <br /> r <br /> Building Height: Def. Hgt. Peak Hgt. c� <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: �l/� <br /> Avg. Setback: Bluff Setback: I.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 />