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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Y3y 5 WI ((ow V c cw <br /> PID: <br /> DESCRIPTION OF WORK: N <br /> ZONING REVIEW BY: DATE APPROVED: ti- 0 -0 3 <br /> BUILDING REVIEW BY: <br /> L DATE APPROVED: Y- -0 3 _- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERlMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ 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. 59.b-7-7 Acres I.3/ Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): I 07 Right Side: %' <br /> Rear(Street): t t 0 Left Side: 4-1' <br /> Adjacent Structures: — Wetland: Z°II +0wetlArw <br /> Building Height: Def. Hgt. 3a I Peak Hgt. 3cf.5 <br /> Lot Coverage: 570 <br /> Grading: Staff Approval Date: L-( -Si•0 3 By: t/U' Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # -- Resolution: # — Resolution Date: <br /> Shoreland District: N6 <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 />