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CHECK OFF LIST FOR ISSUANCE OF PERttiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: - <br /> PID: ' <br /> DESCRIPTION OF WORK: <br /> ----------------------------------- -- ----------------------------------------------------------------------- <br /> ZONINGREVIE TVBY: b DATEAPPROVED: //-17-0y <br /> B UILDING REVIEW B Y: DATE APPR0 6'ED: /I_/ <br /> ------------------------------ <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ./ No <br /> PLAN REVIE LV Yes No SEWER CONiVECTION <br /> STATE SURCHARGE Yes No WATER COMVE <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Distinct: o <br /> Fire Department: Post Office: I School District: <br /> Lot Area: Sq fit. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): RI ht Side: <br /> Rear(Street): L t Side: <br /> Adjacent Structures: Wetland: <br /> Building Height. Def. Hgt. Peak 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 Setb ck: 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 /> REIVARKS(iii house): <br /> 31 <br />