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• CHECK OFF LIST FOR ISSUANCE OF PERitiiITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/.5�0 `�ZC�`�i�"� ��(}r� ��� <br /> PID: � 'J- /�7 - .�:3 i/ �C��s- <br /> DESCRIP'i'ION OF WORK: <br /> ZONIlVG RE`VIEW BY: DATE APPROVED: iv •t�-�� <br /> BUII.DING REV�W BY: DATE APPROVED: �� —� 'S 7 <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No � <br /> PLAN REVIEW Yes �/ No SEWF�t COiVNECITON <br /> STATE SUR`HARGc� Yes �" No WATER CONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoni.ng 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 /> �`�� Building Height: Def. Hgt. Peak Hgt. <br /> fv � <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezisting 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 /> MA.RKS (i.n house): <br /> • 26 <br />