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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4J 20 0R44frtv//, pine <br /> PID: <br /> DESCRIPTION OF WORK: /+ Q6 o o,w i,•i £v J-'-. ( s't <br /> ZONING REVIEW BY: N !Q Y �w DATE APPROVED: <br /> BUILDING REVIEW BY: ecc, DATE APPROVED: 11• 1-o 5- <br /> FEES <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No 4.--"*". SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SU hINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: _N_Q_____CthLyQede <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> • <br /> Proposed Setbacks: <br /> Front(Lake): Right Si ie: <br /> Rear(Street): Left Sid, : <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. •eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: // - / - o 7 By: 9'. /Ms ss rec. A/. •s beQ iC or..__. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br /> 1 <br />