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CHECK OFF LIST FOR ISSUANCE OF PER1IMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3'1 ti w <br /> PID: <br /> DESCRIPTION OF WORK: PVA oy e H oME <br /> ZONING REVIEW BY: DATE APPROVED: G•z Y-o3 <br /> BUILDING REVIEW BY: DATE APPROVED: 6•z-Y-o3 <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 /> ----------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: /ZIZ- A <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 2 10, 1 "39 Acres `Y-tl Width Depth <br /> Survey Submitted: Yes_V No Date of Survey: 5_3 " °3 <br /> Proposed Setbacks: <br /> Front (Lake): 140.cl Right Side: s 1 <br /> Rear (Street): -;>00 , + Left Side: <br /> Adjacent Structures: Al 1.4 Wetland: -11,4 <br /> Building Height: Def. Hgt. 0 .lam Peak Hgt. <br /> Lot Coverage: N I y[► <br /> Grading: Staff Approval Date: G ?JO - By:6-/ - Council Approval Date: <br /> Septic: Staff Approval Date: rx c 5n w By: <br /> Zoning File: #_A3 L906 Resolution: # Resolution Date: f2 23- 03 <br /> Shoreland District: /V b <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) <br /> 7 <br />