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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: //yS i O/VKAWA <br /> PID: <br /> DESCRIPTION OF WORK: A o3o tz <br /> ZONI�Ti G REVIEW BY: DATE APPROVED: to - z3-03 <br /> BUILDING REVIEW BY: DATE APPROVED: (o.29-43 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERINUT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes—v**- No WATERCONNECTION <br /> INVESTIGATION FEE Yes No L,� PARK FEE <br /> SAC Yes No_� SI TEINSPECTION <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 — No Date of Survey: �2-- <br /> Proposed Setbacks: <br /> Front(Lake): (02' Right Side: 2Q•1 <br /> Rear(Street): 125 Left Side: 10-b <br /> Adjacent Structures: — Wetland: — <br /> Building Height: Def. Hgt. 0-K Peak Hgt. <br /> Lot Coverage: C9.I< <br /> Grading: Staff Approval Date: By: ae'OLI A Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: #o3-ZS6'7 Resolution: # ` ciSo Resolution Date: <br /> Shoreland District: ve 5 <br /> Avg. Setback: VAa i pAN c Bluff Setback: AI(1--- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 11)(7., <br /> 75-250' 13 <br /> 250-500' <br /> 500-1000' <br /> Ha.-dcover Variance Required: Yes V- No Date of Council Approval: <br /> RENIARKS(in house): <br /> 7 <br />