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` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGALr 3�Z� IV 02'rl-� SF't o cz� p TZ <br /> PID: <br /> DESCRIPTION OF WORK: —�vw.p�e L <br /> __________� -------------------------------------------------------- --- -----�--- ------ <br /> ZONING REVIEW BY: /U lA DATE APPROVED• <br /> BUILDING REVIEW BY: DATE APPROVED: 3 • ' � <br /> _----------__ ____.--------�------------------------------------------------------___--_-------__ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes �/' No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes t/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /Vv c� � <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 Si e: <br /> Rear (Street): Left Sid : <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak 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: Bluff Set ck: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />