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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> _ ADDRESS OR LEGAL: ��t`�� — � ���-�(�, R.�-� <br /> PID: <br /> DESCRIPTION OF WORK: �_�y5c-�.,;�� �c�;w; U`� r���-d� <br /> ------_ __���-�--- ---./-------------------------------------------------------------------- <br /> ZO�'G REV�`V BY• � - 1��:� DATE APPROVED• S"'-��1-`i y <br /> BUILDING REVIEW BY: �.� ���, � DATE APPROVED: �v("J� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNEC'ITON � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO1vI�TG CH�CK LIST Zoning Discricc: �'t-�% C���'�i'� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <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 /> Building Heigh[: Def. Hgt. P �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: L.ot Coverage: <br /> Existing 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 />