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` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: L47D5 bri u& <br /> PID: 07- 1iq -a3- fh�;L -0 5 <br /> DESCRIPTION OF WORK: R f tj(a ; <br /> ZONING REVIEW BY: ti DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: i''" A`'' c F es 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: 6 <br /> Fire Department: M,( U(ld Post Office: M Q Lk(L School District: �1VJiS <br /> Lot Area: Sq.ft. -j0,0(0',) Acres -I Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks! <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: _ Wetland: v <br /> Building Height: Def. Hgt. — Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: —' By: Council Approval Date: <br /> Septic: Staff Approval D,ate: By: <br /> Zoning File: # 9 l <br /> S� � Resolution: # Resolution Date: (l la(" to 0 <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 />