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� , . <br /> S � <br /> CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 37 03 CAsW i4v�a <br /> PID: <br /> DESCRIP'TION OF WORK: �,pDi n�n� ��o,rc. <br /> ZOVT�i tG REVIE`V BY: DATE APPROVED: �-Z y•o s <br /> BUII..DING REV�`V BY: DATE APPROVED: �-21•05 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,,/ No <br /> PLAN REVIEtiV Yes ✓ Na SEWER COiVNECTION <br /> STATE SURCHARGE Yes _yG No WATER CONNECTION <br /> INVESTIGATTON FEE Yes No PARK FEE <br /> SAC " '' ' ` �� ""' Yes No " ' SITEINSPECTION <br /> Number of SAC Uruts��' OTHER (specify) <br /> ------------------------------�--------------------------------------------------------------------------------------- <br /> ZO�tI�IG CH�CK LIST Zoni.ng District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes �_ No Date of Survey: zo 03 <br /> Proposed Setbacks: <br /> Front (Lake): S� � Right Side: Zv � <br /> Rear (Street): �oo � f Left Side: Z�,� <br /> Ad;acent Structures: �//v4 Wetland: � /✓� <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: U� k <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Sep[ic: Staff Approval Date: — By: <br /> Zoaing F:ie: {t ' Resolution: # Resolution Date: <br /> Shoreland District: /�)'J <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> E�istin� Proposed <br /> b <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�a-500' <br /> 500-1600' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IA_RI�S (in house): <br /> � <br />