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. <br /> ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2��o N a R TK �i-E-oc2�. ��2 <br /> PID: <br /> DESCRIPTION OF WORK: ����Q�L = <br /> ZONING REVIEW BY: ,�„e,,,._ DATE APPROVED: /Vffl <br /> BUII.DING REVIEW BY: DATE APPROVED: /1-!3-�i 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEVVER COrfNECTTON <br /> STATE SUR��iARGE Yes ✓ No WATERCOrfNEC'TION <br /> INVESTIGATION FEE Yes � No PARK FEE <br /> SAC Y:;s No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <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 /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> � Building Height: Def. Hgt. Peak Hgt. <br /> � Lot Coverage: <br /> L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File; # Resolution: # Resoludon Date: <br /> Shoreland Dis�ict: „ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> MARKS(in house): <br /> • 26 <br />