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� CHECK OFF LIST FOR ISSUA�\'CE OF PERMITS <br /> FOR OFFICE USE O�tLY <br /> , ADDRESS OR LEGAL: Z�l�y S►4N d s�t--o N� v4+� <br /> PID: <br /> DESCRIPTION OF WORK: �� /�S 'Z o � ,�.� F�.a.�,.� <br /> Z0�1Ni G RE'VIEW BY• DATEAPPROVED: /�-z�'-o3 <br /> BUII.DI�i 1G REV�W BY: DATE APPROVED: �o-z 8 -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes _�/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATER CONNECITON <br /> INVESTIGATION FEE � Yes No � PARK FEE <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units 1. 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 X No Date of Survey: t D-rc�•03 <br /> Proposed Setbacks: " <br /> Front(Lake): O Right Side: d <br /> Reaz(Street): � Left Side: a <br /> � <br /> Adjacent Structures: o Wetland: 3.S <br /> Building Height: Def. Hgt. Peak 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 Disuict: N� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS(in house): <br /> 7 <br />