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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: LI�O ►'V 0�ZTFI A2Y� ��� <br /> PID: <br /> DESCRIPTION OF WORK: A��W�� `'�k�S 1-� <br /> -----------------------------_____-----_--- ____------------------------------ • <br /> -- - --------------- <br /> ZONING REVIEW BY: �lJ �V� DATE APPROVED• <br /> BUII..DING REVIEW BY: � DATE APPROVED: g •2z-c�u <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes �/ No WATER CONNECI'ION <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: No G�.��p <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres W dth 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 Height: Def. Hgt. Peak H t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution 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 /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />