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� � - <br /> CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �-f G so �nik•4 ��� EW ��.�L� <br /> PI�: <br /> DESCRIPTION OF WORK: O�U� <br /> ------------------------------------------ ------ ------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: � -30-p1 <br /> BUILDING REVIEW BY: DATE APPROVED: !�-30-rn <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> 0 ------------------------------------------------------------------------------------------------------------------------ <br /> A�� ZONING CHECK LIST Zoning District: <br /> ����• <br /> Fire Department: Post Office: School District: <br /> t Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes oL No Date of Survey: o rs (=t 1�.� <br /> Proposed Setbacks: <br /> Front (Lake): (y I� i- Right Side: 1$Q� � <br /> Rear (Street): � Z� � '3- Left Side: �0�� � <br /> Adjacent Structures: l 30` Wetland: /1///4 <br /> Building Height: Def. Hgt. p�k Peal:Hgt. O.�c., <br /> Lot Coverage: c� �1� <br /> Grading: Staff Approval Date: �t///} By: Council Approval Date: <br /> Septic: Staff Approval Date: ^// /4-� By: <br /> Zoning File: # Resolution: {t — Resolution Date: <br /> Shoreland District: ^i O <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 /> 7 <br />