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s •� <br /> ` � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3(�� �A�'-K 1p 2 <br /> PID: �-n�-�-✓� : <br /> DESCRIPTION OF WORK: n C G(c (��va-� �r�r✓� �S y_ � 5�-t•V< r�-ec.�< <br /> ZONING REVIEW BY: � � DATE APPROVED: 4 -L-�P� <br /> BUII..DING REVIEW BY: DATE APPROVED: � -Z� g 49 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t� No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------G��"Vlf-- /--------------------------- <br /> ZONING CHECK LIST Zoning District: /�l, �p(_ <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 Side <br /> Reaz(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. Setback: Bluff Setb ck: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-5(TO' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> � � <br />