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� � � CHECK OFF LIST FOR ISSUANCE OF PERILIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?S� �v y ��,,� <br /> PID: � <br /> DESCRIPTION OF WORK CZ,c—�vw,�Z <br /> ZONING REVIEW BY.• DATE APPROVED: /� - 4� -n � <br /> B UILDII�'G REVIEW BY: DATE APPROVED: �2- $ - n 3 <br /> FEES TO BE CHARGED: lliisc. Fees Calculated By: <br /> PERMIT Yes � ��'o <br /> PLANREVIEW Yes �/ ' SEWER CONNEC770N <br /> STATE SURCHARGE Yes �Zo WATER CONNEC770N <br /> INVESTIG.-�TION FEE Yes :\'o PARK FEE <br /> SAC Yes 1�"o SITE I1�SPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�VING CHECK LIST Zoning District: �'�Jc) G C-��� <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 Se�backs: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: ji'erland: <br /> Building Height: Def. Hgt. Pealc Hgt. <br /> Lot Coverage: <br /> Grading: Sta�fApproval Date: Bti�: Coa�ncil Approval Date: <br /> Septic: StaffAppro�•al Date: B�•: <br /> Zoning File: = Resolution: !# Resolution Date: <br /> Shoreland District: <br /> Avg.Setback: Bluff Setbcck: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Har�cover Variance Required: Yes �o Date of Cour.;-il Approval: <br /> REMARKS(in house): <br /> 32 <br />