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. , } ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A,DDRESS OR LEGAL: Z��S S H A rJyw o o✓� Ro Ao � <br /> PID: <br /> DESCRIPTION OF WORK: Ap,p,Tronl ' <br /> ZO.vl�1i G RE'VIEW BY: ,,_. DATE APPROVED: $•Z8 -03 <br /> BUII�DI�i TG REVIEW BY: DATE APPROYID; g•Z�•03� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�tiIIT Yes_� No <br /> PLAN REVIEW Yes ,/ No SEWFjR CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE � Yes No � PARK FEE <br /> SAC Yes No ,/ STTEINSPECTION <br /> Number of SAC�Units OTHER(specify) <br /> ZON�TG CH�CK LIST Zoning District: c.a-�� <br /> Fire Department: � Post O�ce: School District: • � <br /> Lot Area: Sq�.ft. �D,s� � Acres •� " Width i o�.z Depth <br /> Survey Submitted: Yes vc � No Date of Survey: �- � g- a 3 <br /> Proposed Setbacks: � <br /> , - � <br /> Front(Lake): 12 3 { Right Side: � � � <br /> Rear(Street): 1 y2�� Left Side: (,L � � �. <br /> Adjacent Structures: N//� �Vetland: �✓lY� . <br /> Building Height: Def. Hgt. p_ �� Peal:Hgt. p,� <br /> Lot Coverage: 12-S <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # f�3-293o Resolution: # Resolution Date: � <br /> Shoreland District: �� � , <br /> Avg. Setback: N /Y� Bluff Setback: i✓��a- I.ot Coverage: �Z• 5` <br /> Eacistina Proposed <br /> Hazdcover: 0-?5' •SB •`� <br /> 75-250' �o•.s '��� � <br /> 250-500' S S <br /> 500-1000' <br /> Hazdcover Variance Required: Yes_� No Date of Council Approval: <br /> RENIARKS(in house): �. <br /> � . . . <br />