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4 � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3(.0 1 -T-O&0 20 A",0 <br /> PID: <br /> DESCRIPTION OF WORK: ENTR is �y,= <br /> ZONING REVIEW BY: DATE APPROVED: q-i if-03 <br /> BUILDING REVIEW BY: DATE APPROVED: y i 40 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq-ft. Acres Width - Depth <br /> Survey Submitted: Yes W No Date of Survey: 4-2 '6 '-T-t -9 7 <br /> Proposed Setbacks: <br /> Front(Lake): y2' Right Side: 34 <br /> Rear(Street): Zoo I + Left Side: <br /> Adjacent Structures: A-ry.,4*eV Wetland: N 14- <br /> Building Height: Def. Hgt. o.t t Peak Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 2�-f <br /> Avg. Setback: nr)n Bluff Setback: N //3 Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' b•j< <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />