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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3s t 3 c_y��L ;�v L <br /> � PID: <br /> DESCRIPTION OF WORK: s;c%;�w. t�,�wwc:��, (u==-�F'.4��/'`l�,r2�.c rrr;urc /�+.Yw�;C �.:�'.�.� rY'�::e� <br /> ZOVPIG REVIE�V BY: �l,°I f-1 DATE APPROVED: <br /> BUII.,DING REVIE`V BY: ��Y�_ DATE APPROVED: �- r3 � � <br /> --- ____-----_ --,r----- - -----------------------------------------=--------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLA1�1 REVIEW Yes No �� SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: ��% �,�s�,,� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan • <br /> Building Height: Def. Hgt. Peak Hg . <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Res lution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <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 />