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CHECK OFF LIST FOR ISSUANCE OF PERNUTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: („X35 (�t✓►'J R S"r14C_ Q Apt (Zoa ,a <br /> PID: <br /> DESCRIPTION OF WORK: _ 1:--)W �InAl2sHAu.S p ,e� P !l�4pG S <br /> ZONING REVIEW BY: NIA DATE APPROVED: <br /> BUILDTi tG REVIEW BY• DATE APPROVED: q ,i o •S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ~ <br /> PERMIT -Yes V No <br /> PLAN REVIEW Yes c/ No SEWER CONNECTION <br /> STATESURCHARGE Yes No WATER CONNECTION <br /> INVESTIGAZION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units -OTHER (specify) <br /> ZONI WG CHECK LIST Zoning District: tJo -�- <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 Sid : <br /> Rear(Street): Left Side <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. eak H-t. <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: Bluff Set ack: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> RE1l�IARKS CLa house): <br /> .i t •26 <br />