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. � . <br /> . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31�l� L�v�r� 6 5� Go��.� - <br /> PID: <br /> DESCRIPTION OF WORK: NCw /1,C-3 <br /> ZONING REVIEW BY: DATE APPROVED: 5 • �•�z <br /> BUII.DING REVIEW B : DATE APPROVED: s - �.. �z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes .� No STfEINSPECTION <br /> Number of SAC Units Z OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth � <br /> Survey Submitted: Yes�_ No Date of Survey: �-17-01 <br /> Proposed Setbacks: <br /> Front(Lake): 2'Z Right Side: O <br /> Reaz(Street): b Left Side: O <br /> Adjacent Structures: A-T1rS�jc.�.tc�� Wetland: — <br /> Building Height: Def. Hgt. G •�� 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: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> �— <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />