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CHECKOFF LIST FOR ISSUANCE OF PERJVITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ `I J N '�► kms° �(' <br /> PID: <br /> DESCRIPTION OF WORK. a C W, <br /> /STTCfec <br /> -----------------------------------------j- --------------------------------------------------- <br /> --_ <br /> a '_------ <br /> ZONING REVIEW BY: DATEAPPROVED: <br /> BUILDING REVIEW BY.• DATE APPROVED: (o• Z7- c"3 is <br /> ----------------------- <br /> FEES TO BE CHARGED: Allisc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER CONNECTIOtV <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> NVESTIGATION FEE_ Yes No r/ PARK FEE <br /> SAC Yes No SITE INSPECTION <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: Yes No ✓ Date of Survey: u85 <br /> --/_ 5w�e y 6-c+x 9i, (As b-w I � t ase, <br /> Proposed Setbacks: ems► �®e+ <br /> Front(Lake): Right Side: <br /> Rear(Sheet): m A Left Side: 17/-7 <br /> Adjacent Structures: 4a Wetland: fl/4 <br /> Building Height: Def. Hgt, yl Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: A BY: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg.Setback: _ CcAmr�l�_ Bluff Setback: Lot Coverage: ^� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-150' <br /> 150-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ✓ Date of Council Approval: <br /> REt1IARKS(iii house): <br /> 31 <br />