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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��i�C: N�=�`t�+, s E��:t� ����"'. <br /> PID: <br /> DESCRIP'TION OF WORK: �r� ^�LY���.= 4"�e 14�'2 5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: /\,`(� DATE APPROVED: <br /> BUILDING REVIEW BY: -�:�� Lu,,.��.._. DATE APPROVED: � -� �- �i t, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �,�'' No <br /> PLAN REVIEW Yes ✓" No SEWER CONNECTION <br /> STATE SUR`I-IARCr� Yes � No WATER CONNECTION <br /> INVESTIGA'I'ION-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 /> � <br /> � Survey Submitted: Yes No Date of Survey: <br /> i <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> � Adjacent Structures: Wetland: <br /> s <br /> � Building Height: Def. Hgt. Peak Hgt. <br /> � � <br /> �' � Lot Coverage: <br /> � Grading: Staff Approval Date: By: Council Approval Date: <br /> � <br /> � Septic: Staff Approval Date: By: <br /> ! <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> � Avg. Setback: Bluff Setback: L.ot Coverage: <br /> r Existing Proposed <br /> � Hardcover: 0-75' <br /> � 75-250' <br /> � 250-500' <br /> j 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />