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, • CHECK OFF LIST FOR ISSUANCE OF PERlVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: __ QS (,C,�F �- <br /> PID: <br /> DESCRIPTION OF WORK: �L �ru+eny c2.�,`���— <br /> ---- --------------------------_w____---_�----- <br /> ZONING REVIEW BY: /'U �� DATE APPROVED: <br /> BUII.DING REVIEW BY: � DAT'E APPROVED: S:- Z9 '�t� <br /> FEES TO BE CAARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SUR�HARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y:.s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --- ---- ----------------------------------------------i- <br /> ZONIlVG CHECK LIST Zoning District: �f �O G���� � <br /> � v <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 Side: <br /> Reaz(Street): I.eft Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> I.at Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: � <br /> REMARKS('in house): <br /> • 26 <br />