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i' , � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'�f 1 NO fL TN i42� O/� <br /> PID: <br /> DESCRIPT'ION OF WORK: ��yH,o��--L <br /> ZO.�tI�Ti G REVIEW BY: DATEAPPROVED: � - ZZ-oS <br /> BUII,DII�i G REVIEW B : DATE APPROVED: � - zz.-oS <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 CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYI��TG CHECK LIST Zoning District: /��D G ff�2s/�{� <br /> Fire Department: Post OfFice: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: Def. Hgt. Pe • gt. <br /> Lot Coveraae: <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 /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Existin� Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes Date of Council Agproval: <br /> REMARKS (in house): <br /> 7 <br />