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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> " FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: Z�a C� �� uL�,q,�,o�� 2oA✓� <br /> PID: <br /> DESCRIPTION OF WORK: �,�� �-r �ovJ <br /> ZOr1�i TG REVIE`V BY: ,.._ DATE APPROVED: 6-Z�- os <br /> BUILDING REY�`V BY: DATE APPROVED: �.e.,�}o i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ,// No SEWER CO�TNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes �v, �/ PARK FEE <br /> SAC Yes , �I�o��� SITEINSPECTION <br /> Number of SAC Units ��, i.U✓ OTHER (specify) <br /> ----------------------------------------------------��,�-�------------------------------------------------------------- <br /> ZONI�IG CH�CK 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: �l-3c3•'7y (o� P�c�J <br /> Proposed Setbacks: � <br /> Front (Lake): -�'j� � Right Side: �iS� � <br /> Rear (Street): yoS� fi- Lef[Side: /3�(� � <br /> Adjacent Structures: i4rnc��-fc,.� Wetland: i✓/� <br /> Buildin; Height: Def. Hgt. �•� Peal:Hgt. '— <br /> Lot Covera�e: N�/a <br /> Grading: Staff Approval Date: �- By: Council Approval Date: <br /> Septic: Staff Approval Date: — ������/By: �� <br /> Zonin; F1e: # — Resolution: !# Resolution Date: <br /> Shoreland District: nJ a <br /> Av�. Setback: Bluff Setback: Lot Covera�e: <br /> E�isting Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�a-500' <br /> 50a-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�1AR�iS (in house): <br /> � <br />