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CHECK OFF LIST FOR ISSUAiINCE OF PERNUTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y) (S wpt►�2-ro v.�vJ <br /> PID: <br /> DESCRIPTION OF WORK: C A e- o 2 <br /> ZON LNG REVIEW BY: DATE APPROVED: /o .LS-,00 <br /> BUILDT.NG REVIEW BY: CZjZ DATEAPPROVED: t0 -7-5`03 <br /> OF <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMTI' 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 /> ZO\�IG CHECK LIST Zoning District: A R-1✓-1 <br /> Fire Department: IMArPUZ Pt/,"W post Office: MA-piZ /04,4(^., School District: 02��a <br /> Lot Area: Sq.ft. ivO C I+?N,-/ Acres Width Depth — <br /> Survey Submitted: Yes No Date of Survey: d^+ to 1-13- 9 3 <br /> Proposed Setbacks: <br /> Front(Lake): (D 0, Right Side: <br /> Rear(Street): .51 U f 'L Left Side: 130' _ti_ <br /> Adjacent Structures: A-rrA c Wetland: n/ I <br /> Building Height: Def. Hat. — Peak Hat. " <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: <br /> Ava. 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 /> N, L4RKS (in house): <br /> 7 <br />