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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-1�s k�1�.� nA�2kw,A�•� . <br /> PID• <br /> DFSCRIPTION OF WORK: -��vArv� r�N�s i� <br /> ZO�T�1G REVIEW BY: DATE APPROVED: io �2�-v 3 <br /> BIJII�DLIIG REVIEW BY: DATE APPROVED: i b _2� -a� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMI'f Yes .� No <br /> PLAN REVIEW Yes � No SEVVER CONNECITON <br /> STATE SURCHARGE Yes r/ No WATIItCONNECTTON <br /> �GATION FEE - Yes No PARK FEE <br /> SAC Yes No � SIT'EINSPECITON <br /> Number of SAC�Units ,a, �„f �,-,., o��,,.,� OTHER (specify) <br /> ZONI1'G CHE.CK LIST Zoning District: o c� � -. <br /> Fire Department: Post Off . School District: � <br /> Lot Area: Sq.R. Acres � Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: � <br /> Rear(Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Buildiag Height: Def. Hgt. Peal. gt. <br /> Lot Corera;e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shorelaad District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> E���g Proposed <br /> Hardcover: 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 />