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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY. . <br /> ADDRESS OR LEGAL: Z--(01/ j or 5Ie,rt pr- <br /> PID: <br /> DESCRIPTION OF WORK: dcl. 6Ai/h f—jkiv-4-1 i( 10U c exi nil <br /> ZONING REVIEW BY: DATE APPROVED: <br /> • <br /> BUILDING REVIEW BY: . . DATE APPROVED; <br /> • <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 /> ZONING CHECK LIST Zoning District: . <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres • Width Depth <br /> Survey Submitted:• YesNo Date of Survey: <br /> • <br /> Proposed Setbacks: . • <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> • <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> 4 h <br /> Septic: Staff Approval Date: ////III'\\\�/�V/////, By: 414--"` <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: <br /> Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-5CJ' <br /> 500-1000' <br /> Hardcover -v'z:-.nce Reclured: `fes No D=•- of Co.i c'' A::::::,-.-;': <br /> F.E?LARKS (Ln hoase): <br />