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.. _ , CHECK OFF LIST FOR ISSUANCE OF PER�LIITS <br /> , . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 5 5-S; � � :., r,ti� �T„�; <br /> PID: ' <br /> DESCRIPTION OF WORK %�,.s-n,��r� p <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY.• DATE APPROVED: <br /> BUILDING REVIEW BY.• �<______ _ DATE APPROVED: z-iu--o y <br /> ------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLANREVIEW Yes No v� SEWER CONNECTION <br /> STATE SURCHARGE Yes �/`� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District.• /L� ��/-�9-,v� <br /> Fire Depanment: Post Office: School District: <br /> Lot Area: Sq ft. Acres ' Width Depth <br /> Survey Submined: Yes No� Date of Survey: <br /> Proposed Setbacks: ; <br /> Front (Lake): Right Sid�: <br /> Rear (Street): Left Side,� <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 Setback: Lot 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 Counci[Approval: <br /> REMARKS(in house): <br /> 32 <br />