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� CHECK OFF i.IST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S o� dx� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZO�tG REVLE`V BY: DA'TE APPROVED: <br /> $UILDING RE'VIEtiV BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIE`V Yes No SE`VER CONNECTION <br /> STATE SURCHARGE Yes No WA'I'ER.CONNEC'ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOVNG C�CK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submi[ted: Yes I�10 Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Builciin� Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: � <br /> � y� ' � <br /> Septic: Staff Approval Date: � � r ' By: �� <br /> Zonin� File: � Resolutioo: # Resolution Date: <br /> Shoreland Districc: <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> Ezistino Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da�e of Council Approvai: <br /> �E1�L4RKS (in house): <br />