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. . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � OH S L i ny�eN (�°t�r t� <br /> PID: = <br /> DESCRIPTIONOFWORK: �Q�w� Q(ky�tq��, �Z.�,sp��� ,(�.� �- �}.,.�JSc.��P <br /> ------------------------------------------- --- --------------------------------------------------------------------S7`r4-c2S <br /> ZONING REVIEW BY: DATE APPROVED: $- 7.d-7`� <br /> BUILDING REVIEW BY: DATE APPROVED: � -7.�-�8 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No <br /> PLAN REVIEW Yes i/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <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: �/V c� C�-{-�q,,JG� <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 /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : • - <br /> Zoning File: /# Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LotCoverage: <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 />