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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: qos Ajot-zT}{ sH-o/u. QR <br /> PID: <br /> DESCRIPTION OF WORK: � c YZ)Z 1PA t2 <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: AU 4 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: - r Z - S V <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECKLIST Zoning District: My G(f?4/J�L <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right ide: <br /> Rear (Street): Left S de: <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: BluffSetback: Lot Coverage: <br /> Exist'rig 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 />