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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: O 2 . <br /> PID: <br /> DESCRIPTION OF WORK: iv e w f2 $ <br /> ZONING REVIEW BY: V/ CP-ww_ DATE APPROVED: S-7g •03 <br /> BUILDING REVIEW BY: / DATE APPROVED: s-' - ' a 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i 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 j. 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 ,L No Date of Survey: `-i• Z-0 • 03 <br /> Proposed Setbacks: <br /> Front(Lake): I (-81 Right Side: 35 <br /> Rear(Street): I SC, Left Side: 30•`\ <br /> Adjacent Structures: NIA Wetland: -- <br /> Building Height: Def. Hgt. 30 Peak Hgt. 36' <br /> Lot Coverage: 0.1c- <br /> Grading: Staff Approval Date: s-i 3- 0) By: ci4.0. Council Approval Date: — <br /> Septic: Staff Approval Date: Al/4- By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: N(� <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 />