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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: tiro 0 3 ce44 s1-141.„• ,aA,ki (204,0 <br /> PID: <br /> DESCRIPTION OF WORK: i?.etv...Doe.,_ <br /> ZONING REVIEW BY: NMA DATE APPROVED: <br /> BUILDING REVIEW BY: �I DATE APPROVED: f--,2,•os- <br /> FEES <br /> SFEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes — No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WA1'ERCONNECTION <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: w 0 c E+A v�Q <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> • <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid <br /> Rear(Street): Left Side <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <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 S=tback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes I o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />