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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t�`1`1 l���=1-� �-�;'� t��,`��� <br /> PID: <br /> DESCRIPTION OF WORK: �,.�:�xa��.,.,� �:, ,..�,��..._5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � �,�._._.. DATE APPROVED: � � 3�'% `r � <br /> BUILDING REVIEW BY: ' ' w�.— DATE APPROVED: ti�. �� `r k: <br /> ______������__�_�_�������_�_____��_�_��������T _�______�_______�______������________________�_��___�����������_�____�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes '�" No SEWER CONNECTION <br /> STATE SUR`�IAAGE Yes �� No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No �/' . PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <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: v` k <br /> � <br /> � L Adjacent Structures: Wetland: <br /> � <br /> 0� <br /> �, Building Height: Def. Hgt. Peak Hgt. <br /> 6 <br /> Lot Coverage: <br /> �� Grading: Staff Approval Date: By: Council Approval Date: <br /> t <br /> r Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: � Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> � <br /> REMARKS(in house): <br /> � 26 <br />