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C�iECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�y� �,�ASc.o p o��T ��� <br /> PID: <br /> DESCRIPTION OF WORK: (��,� ��o,J �, vvw�0�,-t, <br /> ZO�IG REVIEW BY: DATE APPROVED: S •2�03 <br /> BUII.,DI�i tG REV��V BY: DATE APPROVID; S-2 Z- - 0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calc� � �' -- _ <br /> PER�I�iIT Yes ✓ No <br /> PLAi�t REVIEW Yes �- No S <br /> STATE SURCHARGE Yes �/ No � ` <br /> INVESTIGATION FEE Yes No � / :-6, <br /> SAC Yes No : �- �-'' `- '"���' c�'� <br /> Number of SAC-Units � � �• �, ����� <br /> -------_ _---- --------------------- c_�i' �...�' �� <br /> -- ,6„ <br /> ZONING CH�CK LIST Zoning District: �.2• ��. /�`����''-r1.. ' � `�� .%�''' <br /> �w _ � -:�- � � <br /> v� �' <br /> Fire Department: Post Office: � � ,,.�- <br /> Lo[Area: Sq.ft. Z'1,�I c� ,`�2 Acres ..b 3 Width _ � � � <br /> � <br /> � <br /> Survey Submitted: Yes ,L No Date of ��h , � <br /> f` y \ <br /> ) <br /> Proposed Setbacks'. � � � -`� , ���' <br /> Ffsa[(Lake): �36� t Right Side: I (• � � ' + <br /> �� . <br /> �e�r (Street): 33� � Left Side: I 1•3 <br /> Adjacent Structures: — Wedand: = <br /> Building Height: Def. Hgt. �•�� Peal:Hgt. C <br /> Lot Coverage: -- <br /> Grading: Staff Approval Date: 5- ZZ - 0 3 By: � <br /> Septic: Staff Approval Date: — By: <br /> �-- <br /> Zoning File: # 25y � Resolution: # 5• iZ-�3Resolu� tio�ate: �Iq�S <br /> Shoreland District: <br /> Avg. Setback. ,�A�w,,�,c,e Bluff Se[back: N a Lot Cover�e: ���' <br /> Ezisting Proposed <br /> Hardcover: 0-75' �. 2 <br /> 75-250' Z 5• � <br /> 250-500' S-g <br /> 500-1000' <br /> Hardcover Variance Required: Yes_,� No Date of Council Approval: S- i 2- �3 <br /> REMA.RKS (in house) ` r L � <br /> � <br /> 7 <br />