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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 61e)U T 0,,4(C&w A tz2��n <br /> PID: <br /> DESCRIPTION OF WORK: N E-,kj ReS. <br /> ZONING REVIEW BY: � C�, ,,.`. W�__----DATE APPROVED: g- Z1-03 <br /> BUILDING REVIEW BY: �u(„ DATE APPROVED: g - zf-v> <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 WATERCONNECTION <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: 4A-16 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. •2.3,310 Acres . sy Width Depth <br /> Survey Submitted: Yes_A No Date of Survey: <br /> Proposed Setbacks: <br /> Freac(Lake): 160 Right Side: I o-2 <br /> Rear(Street): 122 Left Side: 2 <br /> Adjacent Structures: I/I A Wetland: iv i,o <br /> Building Height: Def. Hgt. 2-I Peak Hgt. 32- <br /> Lot <br /> 2- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: $- 12,- 03 By: Imo:!°5�Council Approval Date: -- <br /> Septic: Staff Approval Date: t-i By: <br /> Zoning File: # 3.2,9 0, Resolution: # Resolution Date: <br /> Shoreland District: y-e 5 <br /> Avg. Setback: 0.1c Bluff Setback: f Lot Coverage: to.5 `?o <br /> Existing Proposed <br /> Hardcover: 0-75' `f 3 <br /> 75-250' <br /> 250-500' (v <br /> 500-1000' <br /> Hardcover Variance Required: Yes_ No Date of Council Approval: 6 23 03 <br /> REMARKS (in house): <br /> 7 . <br />