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� , 1 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 3y z 5 /v o��a s►+-� r� �p2 <br /> PID: <br /> DESCRIP'rION OF WORK: ,� o�� rqc.t�- 0 2 � X,sr� <br /> ------------------------------------------ ----- - ----------------------------------------------------------�_�o <br /> ZONING REVIEW BY: DATE APPROVED: -a �- c,t <br /> BUILDING REVIEW BY: DATE APPROVED: Z.� � -o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: Na G E-ix�-i•rC.� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres W' th Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland <br /> Building Height: Def. Hgt. Peak H . <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: {t Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): � <br /> 7 <br />