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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (,6 l S�ns r�s�rvn�� C���: <br /> PID: <br /> DESCRIPTION OF WORK: G(� /�t� �/ ��= s�'-o `bw <br /> ZO�tL�1G REVIEW BY: DATE APPROVED: �v-z�i-�3 <br /> BUII.,DTi�1G REV�W BY: DATE APPROVID; �o-Zg - �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLA1�T REVIEW Yes v No SEWER COiVNECTION <br /> STATE SURCHARGE Yes v No WATERCONNEC'ITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units � OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes d_ No Date of Survey: /0-/b'03 <br /> Proposed Setbacks: <br /> Front (Lake): y � Right Side: �� <br /> Rear (Street): 5 � Left Side: O� <br /> Adjacent Structures: _ p `Vedand: ^/ /A <br /> Building Hei�ht: Def. Hgt. G� � Peal:Hgt. <br /> Lot Coverage: N/14 <br /> Grading: Staff Approval Date: /v •�z S- v 3 By: o�� - Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Distric[: n10 <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existina Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARKS (in house): .�� � s-7 +�2- (3� ,l clLc�x I'ch�3 <br /> 7 <br />