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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: et C 0 40,v0 v 4-c M <br /> PID: <br /> DESCRIPTION OF WORK: (Lzwv ooeL - teA,5 p 0,4 el <br /> ZONING REVIEW BY: d` �� DATE APPROVED: /o•2-€)-o s <br /> BUILDING REVIEW BY: � DATE APPROVED: (0 —oS— <br /> f <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes V 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wet •ed: <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. Setback: Bluff Set,•ck: 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 />