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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 2)0 OR.ONO o c2G a A4-0 (?_ ) <br /> PID: <br /> DESCRIPTION OF WORK: 6�C�c <br /> ZONING REVIEW BY: ___ __ ______� DATE APPROVED: 'I- S-0'3 <br /> BUILDING REVIEW BY: ____ ri,t, DATE APPROVED: c -S'-o o <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 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: No C(4-ASS <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes p( No Date of Survey: 0.- (4 <br /> Proposed Setbacks: �Q r <br /> � } <br /> Front(Lake): 'Y7 ' Right Side: <br /> Rear(Street): 373( 1, Left Side: S--1)( <br /> Adjacent Structures: AT 1G.4-c:Y� Wetland: Al 1 4- <br /> Building Height: Def. Hgt. -- Peak Hgt. —Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> I"'f 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 />