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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> 'ADDRESS OR LEGAL: 2%o AJ o R;n-A s t-to rtc rJ 2 w�� <br /> PID: <br /> DESCRIPTION OF WORK: Ciy 7nAN d,C, rYia K . ry7S <br /> ZONING REVIEW BY: DATE APPROVED: 4•Z&-o j <br /> BUELDItii TG REVIEW BY: DATE APPROVED: 9 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNEC HON <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_, No Date of Survey: 03 <br /> Proposed Setbacks: <br /> Front(Lake): 5+ Right Side: <br /> Rear(Street): I f t Left Side: <br /> Adjacent Structures: N /,4 Wetland: N 14 <br /> Building Height: Def. Hgt. Peak Hgt. — <br /> Lot Coverage: 1-r fA <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 Se ack: 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 /> REMAR .S (in house): <br /> 7 <br />