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. <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ']9 0 /J�-� (�n„�,1 l�n, <br /> PID: <br /> DESCRIPTION OF WORK: ,�u. o�,'C ,,J o o �,Q 5� <br /> ______________________ �,.,(� C�►n�.._. __-------------------- -------------------------Z---- <br /> ZONING REVIEW BY: DATE APPROVED: q t b-o <br /> BUII..DING REVIEW BY: DATE APPROVED: <br /> ------------___________ 7 --------------------y: <br /> w(�_C w p� _�_�������_���������������� . <br /> FEES TO BE CHARGED: � ��+-'�'0'l�Iisc. Fees Calculated B <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' No ✓ SEWER COrfNECITON <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 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: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> I"�`T, Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: /t Resolution: # Resolution 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 Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): P�av !��ew e�9 �v•, ra w. 1�L(�e P _ �,5 co M.r.�,,f s ,e-s�� <br /> ,N�:r» cw � /J c�r�.�.- <br /> � <br /> 7 <br />