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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: $(.,s- <br /> DESCRIPTION <br /> (.,S <br /> PID: <br /> DESCRIPTION OF WORK: n1 w 12E5 <br /> � ---------------------------------- ---------- <br /> ZONING REVIEW BY: DATE APPROVED: /z-io-03 <br /> BUILDING REVIEW BY: / �JC ," ,__ DATE APPROVED: /Z-/0 6 S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes // No <br /> PLAN REVIEW Yes �, No SEWER CONNECTION <br /> STATE SURCHARGE Yes Z No WAi•rit 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. -41,17. .) Acres . 9(0 Width Depth <br /> Survey Submitted: Yes X No Date of Survey: t- ZS -0 3 <br /> Proposed Setbacks: <br /> Front(Lake): y 1 Right Side: 3 y•to <br /> Rear(Street): i 3-1 Left Side: Z. <br /> Adjacent Structures: N 1 A Wetland: to o ' t <br /> Building Height: Def. Hgt. i $.S Peak Hgt. 2`f.5 <br /> Lot Coverage: y qo <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: NM By: — <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: /l.1 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 />