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A <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (.6'S Q RC(4/NR4 PARK 1140040 <br /> PID: • <br /> DESCRIPTION OF WORK: CAR 4e 6-ro(1 - 0 Aw.44 <br /> ZONING REVIEW BY: ,p DATE APPROVED: 9 - 2 -9 cei <br /> BUILDING REVIEW BY: DATE APPROVED: 5- Z -Fce, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ci No <br /> PLAN REVIEW Yes cam' No SEWER CONNECTION <br /> STATE SURCHARGE Yes fi No WATER CONNECTION <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: t2 0.--11(1 C Hsi JG <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): Righ Side: <br /> RearStreet : <br /> ( ) 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 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 /> REMARKS(in house): <br /> 7 <br />