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� CHECK OFF LIST FOR ISSUANCE OF PERMITS " <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: �13 0 C A N nc:.2 �A� <br /> PID: <br /> DESCRIPTION OF WORK: 2 f3�n-�-�u�- fi��,��,s <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: /a DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: _ g-L y.�2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �,� No <br /> PLAN REVIEW Yes _ /�' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <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: � L <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth 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: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <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 />