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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12 -S 0 2oN o 0,4' <br /> PID: <br /> DESCRIPTION OF WORK: fzikse c-2-( N S <br /> ZONING REVIEW BY:-.f54 I -- DATE APPROVED: ('"( 3-v 1 <br /> BUILDING REVIEW BY: ' DATE APPROVED: f -r 3 -cdt <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes — No WA!bit 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: /4w ���— <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: etland: <br /> Building Height: Def. Hgt. 'eak 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. S tback: Bluff Setbac : 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 />