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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�3 v 5 N A�W�d�,0 z.o,�D <br /> PID: <br /> DESCRIPTION OF WORK: 1�JcLK ' <br /> ZO.�tI�Ti G REVIEW BY: DATE APPROVED: 5�2z-03 <br /> BUII..DING REV�W BY: DATE APPROVED; 5 -z9-.-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ,/� No <br /> PLAi�t REVIEW Yes � No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes _�/ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CHECK LIST Zoning District: . <br /> Fire Department: � Post O�ce: School District: • <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbacks: <br /> £�ea�(Lake): 6�-3 �' Right Side: Z g� <br /> Re�tr(Sueet): '7'�� �' Left Side: y5� '�_ <br /> Adjacent Structures: i4%�'�-�*-''� Wetland: N�- . <br /> Building Height: Def. Hgt. i✓/� Peal:Hgt. � <br /> Lot Coverage: <br /> Gradino: Staff Approval Date: — By: Council Approval Date: <br /> Sepdc: Staff Approval Date: �' By: <br /> Zoaing File: # vT-2.�Sy Resolution: # ResolutionDate: N-2g'�3 <br /> Shoreland District: ps <br /> Avg. Setback. �wvt.� Bluff Setback: — LotCoverage: — <br /> Ezistia; Proposed <br /> Hazdcover: 0-75' �'B <br /> 75-��� 5 Z•3 <br /> 2$�-500� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes oC No Date of Council Approval: Y•�"�� <br /> �REI�'t�RKS (in house): P�ezw.�-r � Po s Z o s w�►s �ss� o,•� � �-a3,�2 . y-e.� ,��-u� <br /> 4R eNo .A�aC /�.y� �tM�� �. G► H..�� Ar►� A6�c. oQ�6rivA�- <br /> , w�4- .1�l L 6�o� � ,,..a �� � �1�6 Soo , c t�� ConrST �y'P <br /> -ko � (�l��'!�°-'^t-P. I bi�o <br /> _ r2�bo� 7 <br /> 3,Hvv <br />