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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFI E USE ONLY <br /> ADDRESS OR LEGAL: ���f r? �_�,.��' �`L <br /> PID: �; _ _ <br /> DESCRIPT'ION OF WORK: �'o �,J p����r W p 2(Z <br /> ------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: N f� DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: � (-g-� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes _� No v SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONTi TG CH�CK LIST Zoning District: �lI v C L-E-f�(�� <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 S de: <br /> Rear (Street): Left Si e: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal: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: L,ot Coverage: <br /> E�sting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />