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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRES OR LEGAL: � � <br /> PID: <br /> DESC ON OF WORK: ,Sfl�i s '�R�i c�;� <br /> ZOY.ni TG 'VIEW BY: DATE APPROVED: �2 6 '°3 <br /> BUILDIN REV�W BY: ,;._._ DATE APPROVED: � •� � . <br /> FEES TO E CHARGED: Misc. Fees Calculated By: __� <br /> PER11iIIT Yes _�L/ No <br /> PLAN RE W Yes No ✓ SEWER CONNECTIO <br /> STATE S CHARGE Yes _� No WATERCONNECTTO <br /> INVESTI ATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number f SAC�Units OTHER (specify) <br /> ZOIVI�TG I3�CK LIST Zoning District: C �F Cf(� C�.[� , <br /> Fire Dep nt: � Post O�ce: School District: • <br /> Lot Area: S �.ft. Acres ' Width Depth <br /> Survey Sub 'tted: Yes No Date of urvey: <br /> Proposed Set acks: � � <br /> Fro t(Lake): Right Side: <br /> Re (Street): Left Side: <br /> Adj cent Structures: �Vetland: . <br /> Building Hei t: Def. Hgt. Pea�:Hgt. <br /> Lot Coverag : <br /> Gradino: St f Approval Date: By: C uncil Approval Date: <br /> Septic: Staf Approval Date: By: <br /> Zoning File: # Resolution: # Resolutio Date: � <br /> Shoreland D strict: <br /> Av . Setback: Bluff Setback: Lot Coverage: <br /> Existmg Proposed <br /> Har�lcover: 0-?5' . <br /> I 75-250' <br /> 250-500' <br /> 500-1000' <br /> Har cover Variance Required: Yes No Date of Council Approval: <br /> RE (in house): �� <br /> � . . . . <br /> � <br />