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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: $s W k/Z (Ai N <br /> PID: <br /> DESCRIPTION OF WORK: c—cam ,"CCM IA-oso <br /> ZONING REVIEW BY: ci?h DATE APPROVED: 6 •2_—o3 <br /> BUILDING REVIEW BY: oe, ( _ DATE APPROVED: 6 - i—03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 1/' No <br /> PLAN REVIEW Yes i No SEWER CONNECTION <br /> STATE SURCHARGE Yes i/ No WATER CONNECTION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes p- No Date of Survey: io-12- 84 <br /> Proposed Setbacks: <br /> Front (Lake): 1 ' .S'± Right Side: 7 3' ± <br /> Rear (Street): 2,o .' ± Left Side: 9 2' <br /> Adjacent Structures: A' *c r•f-e4 Wetland: N/S <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: N(4- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V <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 />