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CHECS OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: !�b�i �r yr•4�:{�6M c.A-�►e� C�A�►�= . � <br /> PID: - <br /> DESCRIPTION OF WORK: L►�wc, r�c�ss s�na��-� <br /> ZO�tG REVIEW BY: DATE APPROVED: G -3� -�3 <br /> BUII.DI�i TG REV7EW BY: N l vi- DATE APPROVED; � � . <br /> FEFS TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�1iIIT Yes �/ No <br /> PLAN REVIEW Yes r� 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 /> ZOVING C�CK LIST Zoning District: No C�L �/L fl•fc . <br /> Fire Department: � Post O�ce: School District: • � " <br /> Lo[Area: Sq�.ft. Acres ' idth Depth <br /> Survey Submitted: Yes � No ate of Survey: <br /> Proposed Setbacks: � � � <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetland: . <br /> Building Hei�t: Def. Hgt. Peak Hgt. <br /> Lot Coverage: I <br /> Gradina: Staff Approval Date: By: I Council Approval Date: <br /> —� <br /> Septic: Staff Approval Date: By: I <br /> Zoning File: # Resolution: # Res lution Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Covec�age: <br /> � Existmg Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> Z50-500' <br /> 500-1000' I <br /> Hazdcover Variance Required: Yes No I Date of Council Approval: <br /> REl�'LARKS(in house): <br /> 7 <br />