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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: e16 S 7z--'I? 4**,0 <br /> PID: <br /> DESCRIPTION OF WORK: v/ <br /> ZONING REVIEW BY: DATE APPROVED: `t-Z3-03 <br /> BUILDING REVIEW BY: DATE APPROVED: 9-L - 3 <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: 4 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. S,9q Ski 'O—Acres 2sei,siwidth yzy./0 Depth <br /> Survey Submitted: Yes l No Date of Survey: Pv 1 _ <br /> Proposed Setbacks: <br /> Front(Lake): l b 5' Right Side: 145 <br /> Rear(Street): S 2 S Left Side: !SS <br /> Adjacent Structures: (b` Wetland: IIIA- <br /> Building Height: Def. Hgt. — 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: /lc� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(inhouse): 126j!'o s si6r(P� <br /> 7 <br />