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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 135 o 0 2bNto o 4Ks R. <br /> PID: <br /> DESCRIPTION OF WORK: sK 4 L%t N 1 <br /> ZONING REVIEW BY: :RiLdli=._ DATE APPROVED: N 1 r- <br /> BUILDING REVIEW BY: DATE APPROVED: i t. a-o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW • Yes .✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WA LER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SfrEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /Vo Gwv c <br /> � <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes No I ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <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 /> Existin 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 /> 1 <br />