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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �--( � (�g /� /bF(-�,JUJ�D /!� <br /> PID: ��U <br /> DESCRIPTION OF WORK: (l.�s'p�q c.e (l.t,��-,q.,,.r„v� �,v�t-c� <br /> � <br /> ------------------------------------------------ --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: S-Z/-v) <br /> BUILDING REVIEW BY: r✓//�- DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <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: (_2-I a <br /> Fire Department: �'V�o�,v�,�,p Post Office: �rL�.�„r/� School District: (���'i�nf/cil <br /> Lot Area: Sq.ft. �vo C(�.y�Acres Width — Depth -- <br /> —� <br /> Survey Submitted: Yes No� Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> � — c�J (,,�i r C.�n�0 <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: S`� 21 - 4 t By: � Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' � ! � ` <br /> 250-500' I v <br /> 500-1000' / <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />