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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: ��35 1-ti�Kwno� �.�AN� <br /> PID: <br /> DESCRIPTION OF WORK: �b r����.� ,�ti.a 6�v� ��N tS 1i <br /> ------------------------------------------------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �- �5• c�-z. <br /> BUILDING REVIEW BY: - DATE APPROVED: � _�5 ro Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes ,� No SEWER CONNECTTON <br /> STATE SURCHARGE Yes ��No WATER CONNECTTON <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: Z-i�-q O <br /> Proposed Setbacks: <br /> Front (Lake): Ss� Right Side: I 12 <br /> � t <br /> Rear (Street): 5� Left Side: g Z- <br /> Adjacent Structures: q.T-r�c.�t-i-�,� Wetland: /�.1(�4 <br /> Building Height: Def. Hgt. a.k Peak 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: i�U <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 />