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� ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /5 s�o S�x Tl-f �►v c- N• <br /> PID: � <br /> DESCRIPTION OF WORK: �nA✓�i��/cA-,� �.i� - O2��t w�a,� L-r•�twc4 <br /> ZO�TI1i TG REVIEW BY: o (�Q�,�,e,,,^ Nw � DATE APPROVED: S•t Z.-0 3 . <br /> BUII..DI�i TG REV�W BY� . DATE APPROYID: — <br /> N lf►- <br /> ---,-i-�. - <br /> FEES TO BE CHARGED: is GFee�ulated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes No SEWER CONNECTTON <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONPTG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq�.ft. Acres � Width Depth <br /> Survey Submitted: Yes_ c� No Date of Survey: 2-�!• 76 � I•Z`{-03 <br /> Proposed Setbacks: ' � <br /> Front(Lake): Right Side: <br /> Reaz (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Z�bbg Resolution: # Resolution Date: 2-Z`� �.03 <br /> Shoreland District: �s <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Couacil Approval: <br /> RENIARKS(in house): PjtoPo s� 6 f��� e�� o..�Tv � Z s � 2 S <br /> S�� sv�2vc._ 4.�� /-2 Y• 0 3 _ <br /> . � <br /> 7 <br />