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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 00 C t02. <br /> PID: <br /> DESCRIPTION OF WORK: Po a i <br /> ZONING REVIEW BY: DATE APPROVED: 3 -i a 3 <br /> BUILDING REVIEW BY: U �,� DATE APPROVED: 3-, o-03 <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 WAthtCONNECTION <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 oo No Date of Survey: oW <br /> Proposed Setbacks: <br /> Front(Lake): 300' ± Right Side: Z°ro' <br /> Rear(Street): 2-0' E Left Side: 30' ± <br /> Adjacent Structures: /S ' Wetland: <br /> Building Height: Def. Hgt. N 14 Peak Hgt. -- <br /> Lot Coverage: n/( <br /> Grading: Staff Approval Date: 3-c 4 - 0 3 By: c7./ ° - Council Approval Date: — <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /U c) <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 />