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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: c3 7 0 LA.) <br /> PID: <br /> DESCRIPTION OF WORK: X11 c j ,Ze s <br /> ZONING REVIEW BY: (` / . ____ DATE APPROVED: 9-z Z.-03 <br /> BUILDING REVIEW BY: ir DATE APPROVED; 9 - Z z-o3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No c/' PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) P (os f /nv, 4.? <br /> _-------- —_ SQ°a 3 k ti.S A r- <br /> ZONING CHECK LIST Zoning District: j(s o•o ('-'^ <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes x No Date of Survey: 9- $-03 <br /> Proposed Setbacks: <br /> Front(Lake): :1 5-$ Right Side: 7 <br /> Rear(Street): c o "4= Left Side: I SS <br /> Adjacent Structures: /V-CD4 Wetland: rO <br /> Building Height: Def. Hgt. 3 a Peak Hgt. 5- <br /> Lot Coverage: (2•(c- <br /> Grading: Staff Approval Date: cj-f et- v 3 By: (13 - Council Approval Date: — <br /> Septic: Staff Approval Date: ////4_ By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /)0 <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 />