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{ <br /> - ' CHECK OFF LIST FOR ISSUANCE OF PERMITS � <br /> � <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: >>35 lV oRTti-t A�2v� DfZ <br /> PID: <br /> DESCRIPTION OF WORK: (_, �. <br /> ZOrTvi G REV�W BY: DATE APPROVED: (a -Z���9 <br /> B JILDI�i tG REVIEW BY: N 1�} DATE APPROVED: �-- <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 CONNEC'ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Iv'umuzr uf SAC Units OTHER (specify) <br /> ZONIi�TG CH�CK LIST Zoning District: N'o <br /> Fire Depar[ment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Da[e of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Si e: <br /> Rear (Street): Left Si e: <br /> Adjacent Structures: Wetland: <br /> Building Heigh[: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Gradin': Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # . Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff S back: L,ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> RENIARKS(in house): <br /> 7 <br />