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Y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: q//% �Q -5� <br /> PID: <br /> DESCRIPTION OF WORK: i^J �✓ `-S <br /> ZONING REVIEW BY: <br /> DATEAPPROVED: "1-zY-9 <br /> BUILDING REVIEW BY: DATE APPROVED: 1. z..y- 16 <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 CONNECTION <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 District: Shoreland District: <br /> � Fire Department: Post office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes .� <br /> No Date of Survey: 7 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> 1v Rear (Street): Left Side: <br /> �• Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt• <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 /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> (in house): <br />