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� <br /> CHECI� OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: Z-►Z� st�cy c.�a �2. <br /> PID: <br /> DESCRIPTION OF WORK: ��c�c <br /> ZOYING REVIEW BY: DATE APPROVED: Y -t E► -03 <br /> BUILDING REVIEW BY: DATE APPROVED: �r- ►�6 -0 3 <br /> _ _________________ ----- ----------------_--____-----------___�_w <br /> FEES TO BE CHARGEI�: Misc. Fees Calculated By: <br /> pEgMIT Yes ,� No <br /> pLAN REVIEW Yes �' No SEWF�t COrfNECTiON <br /> STATE SURCHARGE Yes—�i No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units �; _ OTHER (specify) <br /> __________ -- ------ T______--_ _____------__ ------------------------------------------------- <br /> ZOti�TG CHECK LIST i Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width DeP� <br /> Survey Submitted: Yes_ t� No Da[e of Survey: Do�r /=� ck <br /> Proposed Setbacks: <br /> Front(Lake): i y 3� t Right Side: 9 49 � t <br /> Reaz(Sueet): -1`'1� � Left Side: ?�p il�_ <br /> Adjacent Structures: �q��1� Wetland: — <br /> Building Height: Def. Hgt. — Peak Hgt. " <br /> i <br /> Lot Coverage: �/(�� <br /> i <br /> Grading: Staff Approval Date�: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — BY: <br /> Zoning File: # — Resolution: # Resolution Date: . . <br /> Shoreland Disuict: iV� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-7�' <br /> 75-f250' <br /> 25d-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />