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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 41'74y s Noe rl SHolze 1)121 u L <br /> PID: <br /> DESCRIPTION OF WORK: C HA N -2,,,Q r. p <br /> ZONING REVIEW BY: DATE APPROVED: -a/-/_c)y <br /> BUILDING REVIEW BY: 6 DATE APPROVED; y-/ ox <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes No z-� SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECHON <br /> IIWESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI TEINSPECTION <br /> Number of SAC-Units OTHER(specify) <br /> ZONING CHECK LIST Zoning District: No C Ifia ? <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth 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: eland: <br /> Building Height: Def. Hgt. P -Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning Filer # Resolution:# Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Seth k: 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 />