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' ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /'� �� �_��,1 �,� � ��� �• �� <br /> PID: <br /> DESCRIPTIDN OF WORK.• _ ��rv,,o,�L—Z <br /> ZONING RETtIEW BY.• DATEAPPROT�ED.+ <br /> BUILDING�Ei�IEWBY.• DATEAPPROT�ED: �r� <br /> __________ — ------ _ 2-o� • <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> WVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No—�` SITEINSPECTION <br /> Numbe��of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning Distr�ict: �� C,c./� ��� <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sq.ft. Acres Width <br /> Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Streel): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peak Hg <br /> Lot Coverage: <br /> Grading: StaffApprova7 Date: By: Council Approval Date: <br /> Septic: StafjApproval Date: " �c� <br /> � � By: l_,�.�(,•— <br /> Zoning File: # Resolution.• # Resolution Date: <br /> Shoreland District: CWD Permit: <br /> Avg. Setback: BluffSetback: <br /> Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Ha�-dcovei• Variance Required: I'es No Date of Council Approval.• <br /> REMARKS(in Itouse): <br /> 33 <br />