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' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: Z�SC7 �o_��y p�(ZK.W�4�I <br /> PID: =�-� ,��� �� _.� �3 , ,� �+�,�� � <br /> � <br /> DESCRIPTION OF WORK: '�TQ2W�. Q��C�C� dLt;�'��(L <br /> ------------------------------------�----------------------------------------------------------:---�-i-------�--- <br /> ZONING REVIEW BY: DATE APPROVED. r�- 9 <br /> BUILDING REVIEW BY: DATE APPROVED: ffi- t�-�$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ; <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes No v- SEWER CONNECTION I <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /�1�v Gt�A-�tIC�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 Setbacks: � <br /> Front (Lake): Right de: <br /> Reaz (Street): Left Si e: <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: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Set ack: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REl�ZARKS (in house): <br /> 7 <br />