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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 0 3 Z S�-}�A�J�w�c7✓J <br /> PID: <br /> DESCRIPTION OF WORK: (Z.cw..-o,r��-Z. <br /> ZO�tPi TG REVIEW BY: DATE APPROVED: I I-L S-�3 <br /> BUII..DI�i 1G REV�`V BY: DATE APPROVID; i 1-2 5-03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLA1�1 REVIEW Yes _� No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: . <br /> Fire Departmenr. Post Office: School District: � <br /> Lot Area: Sq.ft. I O,52� Acres . Z � Width Depth <br /> Survey Submitted: Yes_ c� No Date of Survey: oc r �5 03 <br /> Proposed Setbacks: � <br /> Front(Lake): Ino' '� Right Side: (i <br /> Rear(Street): q S' + I.eft Side: S• � <br /> Adjacent Structures: — Wetland: <br /> Building Height: Def. Hgt. p .�c Peal:Hgt. <br /> Lot Coverage: �✓o c i-r�n,�� <br /> Gradin;: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 0 3-Z.4 s 5 Resolution: # Resolutioa Date: /o •z 4.- 0 3 <br /> Shoreland District: y e 5 <br /> Avg. Setback: o •�c Bluff Setback: nr/�- Lot Coverage: N•C _ <br /> Ezisting Proposed <br /> Hazdcover: 0-75' '1•1 ,'� <br /> 75-250' S�i•9 <br /> 250-500' � <br /> 500-1000' <br /> Hazdcover Variance Required: Yes� No Date of Council Approval: !o� 2�( 03 � <br /> RENIA1tI�S(in house): _ <br /> 7 <br />