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� ` , CHECK OFF LIST FOR ISSUANCE OF PERivIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � ; ' �-� <br /> PID: <br /> DESCRIPTION OF WORK: - <br /> ZONPIG REVIEW BY: N�/� DATE APPROVED: <br /> BUILDING REV�`V BY: DATE APPROVED: y- �'s - o � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,,/ No <br /> pLAN REVIEW Yes _/� No SEWER CONNECITON <br /> STATE SURCHARGE Yes t/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z0��1G CHECK LIST Zoning District: /t�o c� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid[h 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 HeiQht: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: I <br /> i <br /> i <br /> Grading: Staff Approval Date: ; By: Council Approval Date: <br /> Septic: Staff Approval Date: F By� <br /> C <br /> Zoning File: # Resolution: #�_ Resolution Date: . <br /> Shoreland District: <br /> Av�. Setback: Bluff Setba�k: LotCoverage: <br /> ExistinQ Proposed <br /> Hardcover: 0-75' _�, <br /> 75-250' <br /> 250-500' <br /> 500-1000' � <br /> Hazdcover Variance Required: Yes Na Date of Council Approval: <br /> RE�iARKS (in house): � <br /> 7 <br />