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r _c CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR AF�ICE USE ONLY <br /> :� `C�" ' l�c:x ci,�%���'''� /��`� <br /> ADDRESS OR LEGAL� �/, / - � 3 �� ��r c� % <br /> PID: �9 ,,� – s r� `�----------------------------- <br /> w0�: , <br /> DESCRIPTION OF ------ApPROVED: N I /�- <br /> ------------------------ -------- ------- ------------------ DA1'E �PROVED: '�-�'1-`� b <br /> ZONING �VIEW BI'� DA'I'E <br /> ... ------ <br /> �t BY: ---------------- <br /> BUILDING �VIE ----------- <br /> ---- ------------------- <br /> ---- <br /> ----""'------ Calculated By: <br /> ----------------------------- No — <br /> GED: Misc. ees <br /> FEES TO BE CHAR YeS � SEWER CONNECTION <br /> PE�IT Yes � NO — w�,TERCONNECTION <br /> PLAN REVIEW �i•l No __ <br /> STATE SUR`HARGE YeS — No c� pARK FEE <br /> INVESTIGA'I'ION-FEE YeS -- No �/ SITEINSPECTION <br /> Y�S -- OTHER (specify) <br /> SAC -------------- <br /> • ------------- <br /> Number of SAC U�ts �— ----------"' <br /> ---------------- <br /> --------- <br /> ONING CHECK LIST Zoning District: <br /> School District: <br /> Post Office: <br /> Fire Departtnent: Depth <br /> Width <br /> Acres <br /> L.ot Area: Sq.ft. <br /> Yes � <br /> No__ Date of Survey: <br /> Survey Submitted: <br /> Proposed Setbacks: Right Side: <br /> Front (Lake): <br /> Left Side: <br /> Rear (Street): <br /> Wetland: <br /> Adjacent Structures: <br /> Peak Hgt. <br /> �� Building Height: Def. Hgt. <br /> ` Lot Coverage: roval Date: <br /> By: � <br /> Council App <br /> Grading: Staff Approval Date: <br /> By: _ <br /> Septic: Staff Approval Date: <br /> Resolution: #�-- <br /> Resolution Date: <br /> Zoning File: #_� <br /> Lot Coverage: <br /> Shoreland Dist:ict: - Bluff Setback: proposed <br /> Avg. Setback: Existing <br /> �— <br /> 0-75' --� ----- <br /> Hardcover: 75_250' <br /> �— �-- <br /> 250-50�' �— �— <br /> 500-100�' -�— <br /> No __ <br /> Date of Council Approval: _�— <br /> Hardcover Variance Required: Yes __ <br /> �M�,ggS (in house): <br /> 26 <br />