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' ' � . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ° FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2,c,.sgy �,yb�w„R.� A•k <br /> PID: <br /> DESCRIPTION OF WORK: +?,,Ey��� <br /> ZONING REVIEW BY: w,,. DATE APPROVED: Q�,�gg.o� <br /> BUII.DING REVIEW BY: DATE APPROVED: g -� g•a r <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 WATER CONNEC'TION <br /> INVESTIGATION FEE Yes No ^. PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /V�3 G�/fi��K-� <br /> J <br /> Fire Department: Post O�ce: 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. Peak gt. <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 /> Hazdcover: 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 />