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. ,r <br /> • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE US ONLY <br /> ADDRESS OR LEGAL: � ` w eo <br /> PID: <br /> DESCRIPTION OF WORK: . � vi <br /> -------- . �- ------------- ------------- <br /> -------------------------- ---- ----- <br /> ZONING REVIEW BY• �- DATE APPROVED: (p C�I 7 <br /> BUILDING REVIEW BY: DATE APPROVED: ? <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SUR��IARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No J� PARK FEE <br /> SAC Y;:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <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 /> Reaz(Street): Le Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. P Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: �i Resolution: # Resolu n Date: <br /> Shoreland Disti ict: <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> � Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> ti <br /> Hazdcover Variance Required: Yes No Da e of Council Approval: <br /> � <br /> REMARB$(in hOuse): �f��l� 5� �iU/t% � L� 0 <br /> Nk�,� �- �,� ��G � � I , - <br /> � 26 <br />