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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t 3`�� �,4�� ;�: <br /> PID: <br /> DESCRIP'TION OF WORK: �i.C4� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZOivING REVIEW BY: �. ,� DATE APPROVED: i c� -3�' • �� <br /> BUILDING REVIEW BY: DATE APPROVED: r v -3�' 'iL <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SUR`I�ARGE Yes � No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L/�-f Q <br /> A'��� Fire Department: Post O�ce: School District: <br /> V" <br /> �t Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�� No Date of Survey: � -��'%f.: <br /> Proposed Setbacks: _ , <br /> Front (Lake): � �i ' Right Side: �l`'�• `r <br /> Rear (Street): �v � Left Side: �''�'��✓� <br /> Adjacent Structures: r'�'r7�L!/�'� Wetland: �'✓ �� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> �1 Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> � 250-500' 2� .3�`� 23, ��{ <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />