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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S iv o 2 Tc1 5 H-o� �� <br /> PID: <br /> DESCRIPTION OF WORK: (Lc—�ST�(UC �o<►-r /�-o�� <br /> ZO�TG REVIEtiV BY: DAZ�E APPROVED: 9=�b -6 y <br /> BLTII,DING REVIE`V BY: DATE APPROYED; 9 -i o - o y <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11�1IT Yes c/ No <br /> PL?,�� REVIEW Yes v' No SEWER COi�TNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECI'ION <br /> TNVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoaing District: /U o Cf-�� �. <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 Sid <br /> Reaz (Street): Left Side: <br /> Adjaceat Structures: We land: <br /> Building Height: Def. Hgt. Pe -Hgt. <br /> Lot Coveraae: <br /> Gradina: 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 Se ack: LotCovecage: <br /> Existing Proposed <br /> Hazdcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br />