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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31 Z.O IV C�R T'1�1 ���tZ� O 2, <br /> PID: � <br /> DESCRIPTION OF WORK i4 A�P � T1 �yJ <br /> -------------------------------------------- ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �7•/y-V� <br /> BUILDING REVIEW BY: _ DATE APPROVED: -�-���� <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLANREVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes�G No WATER CONIVBCTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITE INSPECI70N <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> N° <br /> � Fire Depanment: Post Office: School District: <br /> � <br /> t Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: (o•�,4 -g 7 Co�s �_��� <br /> Proposed Setbacks: <br /> Front (Lake): l bb �� Right Side: I 3�1- <br /> Rear (Street): �S'"1`{= Left Side: q 0� �= <br /> Adjacent Structures: /J-T7�4GpfLc� Wetland: �N J p¢ <br /> Building Height: Def. Hgt. U .(,�. Peak Hgt. --- <br /> Lot Coverage: /l� I ✓; <br /> Grading: Staff Approval Date: 7- t�-V� By: �1 Council Approval Date: -- <br /> Septic: Staff Approval Date: /U I/�- By: <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: y�g <br /> Avg.Setback—'�9.�L Bluff Setback: /tf ��/a- Lot Coverage: N /�, <br /> Ezisting Proposed <br /> Hardcover: 0-75' �✓�L <br /> 75-250' Z4.�dS°?o <br /> Zsasoo� N�� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />