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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 11,80 W,11 o w O 2 <br /> PID: <br /> DESCRIPTION OF WORK: A 0 p i r i o tJ r Lt WW t)F L <br /> ZONING REVIEW BY: DATE APPROVED: /1- / 3 -03 <br /> BUILDING REVIEW BY: DATE APPROVED: i 3 0� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLATIN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ 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: RR- I f� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. .43 3� -- Acres 3 f.,SS Z Width Depth <br /> Survey Submitted: Yes_ tz No Date of Survey: 01 <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): 22•S Left Side: <br /> Adjacent Structures: fit//,4- Wetland: l//, <br /> Building Height: Def. Hgt. z. Peak Hgt. Z to <br /> Lot Coverage: 0- 14, <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # o3-2c,57 Resolution: # Resolution Date: I D -Z'1 03 <br /> Shoreland District: N O <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 />