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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRFSS OR LEGAL: 2 5�i ►�+01 t wni��rz z ri n.t� <br /> PID• <br /> DESCRIPTION OF WORK: fZ,��P c.a.c.c; �r�T,u p o n 2 S <br /> ZO�tG REVIEW BY: N �� 'W--W--N DATE APPROVED: <br /> BUII.DING REVIEW BY: DATE APPROVED; z -i„r=o� <br /> -----------=-�- -- - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAl�i REVIEW Yes No •-- SEWER CONNE�TION <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 /> ZONING CH�CK LIST Zoning District: �/v C<-��� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid Depth <br /> Survey Submitted: Yes No Dat of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: #� Resolution: # Re olution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Ezisting Proposed <br /> Hazdcover: 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 />