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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 8�3 U (��2c�i�,,��,� (�,o� <br /> PID: <br /> DESCRIPTION OF WORK: _�cAu: w c rv r,o�,.J s ,�.✓� s�►��n,b <br /> ZOVING REVIEW BY: 1� �� ~NN DATE APPROVED: <br /> BUII..DING REVIEW BY: DATE APPROVID: �- � -o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAN REVIEW Yes � No � SEWER CONNECTTON <br /> STATE SURCHARGE Yes �� No WATERCONNEC'TION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No—� SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Districr. /�o G��/�N(,ts <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(Sueet): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eal: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 ack: I.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250.500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />