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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l 7�/ �J N4/2 � /4/Zv�'i /J� <br /> PID: <br /> DESCRIPTION OF WORK: /�SP ����S/� <br /> ------------------------------------------------ --------------------------------------------------------------------- <br /> ZONING REVIEW BY: ir.�o,�--. DATE APPROVED: ! O• S- S`� <br /> BUILDING REVIEW BY: DATE APPROVED: /U• S' - �'j `$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes /.i No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <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: /j/v � �7v� <br /> Fire Department: Post fice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Ri ht Side: <br /> Rear (Street): Le Side: <br /> Adjacent Structures: Wetland: <br /> 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: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluf Setback: Lot Coverage: <br /> Exist g 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 /> REMARKS (in house): <br /> 7 <br />