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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 0g5 (-0.(I ow w tn <br /> PID: <br /> DESCRIPTION OF WORK: Po a <br /> ZONING REVIEW BY: ç)1DATE APPROVED: 3-)o o3 <br /> BUILDING REVIEW BY: � ,,t,, DATE APPROVED: 3- o -�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes a/ No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATER ER 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 ,x No Date of Survey: o#u ,--7/L? <br /> Proposed Setbacks: <br /> Front(Lake): I Right Side: yo <br /> Rear (Street): 90 ' Left Side: 13S ' + <br /> Adjacent Structures: 2A` Wetland: SO' <br /> Building Height: Def. Hgt. r'/ 14 Peak Hgt. <br /> Lot Coverage: AJ////- <br /> Grading: <br /> r}Grading: Staff Approval Date: 3-10 •O. By: t/-0-• Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: f 6 <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 />