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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: ��{5 (,y.4�7tTaw.� Awto <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: -7-id -02 <br /> BUILDING REVIEW BY: DATE APPROVED; -���n ,rsz• <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes No ✓' SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No s/ PARK FEE <br /> SAC Yes No P"" 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 No Date of Survey: . DeJ re&d <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: / e R f <br /> ILi�! P Gl G�W /,,JgA r 0" w <br /> Rear(Street): Left Side: -oreAoV Ar 443,1 �J� <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. -- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: -7-ty -CZ By: Council Approval Date: <br /> Septic: Staff Approval Date: ""- By: <br /> Zoning Filer # Resolution: #- -- Resolution Date: <br /> Shoreland District: tip <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 (in house): (A"3 AyrwPA TyeN w•t c s J(o G. 0. Q <br /> 7 <br />