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CHECK OFF LIST FOR ISSUANCE OF PERMITS ` ' <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 4�O C��� ,ss�.�w� <br /> PID: <br /> DESCRIPTION OF WORK: N�w Cr��31ni i <br /> ZO�G $.EVIEW BY: + (''. t.�., . DATE APPROVED: i-r 3 �0 3 <br /> BUII,DTi�tG REVIE`V BY: DATE APPROVED: /- i 3- 0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNiIT Yes �/ No <br /> PLAl�t REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units .S�,�L A�-,a OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �• S . <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sq.ft. 23,s�� Acres .�`1 Width 1 ll� Dep[h t �5 <br /> Survey Submitted: Yes_,� No Date of Survey: <br /> Proposed Setbacks: <br /> � <br /> Front (Lake): �S' Right Side: 30 <br /> Rear (Street): �c�' Left Side: 3d� <br /> Adjacent Structures: (�•K �Vetland: /V��4 <br /> Building Hei;ht: Def. Hgt. 2.t Peal�Hgt. i <br /> Lot Covera�e: 4•�`�o I,�`I`I <br /> ,D <br /> Grading: Staff Approval Date: I� t 3- �3 By: � Council Approval Date: <br /> Septic: Staff Approval Date: I -I 3-�3 By: tM•t3. <br /> Zoning File: # — Resolution: #�— Resolution Date: — <br /> Shoreland District: ��-PS <br /> Avg. Setback: p.K Bluff Setback: N �/'� Loc Coverage: <br /> Ezisting 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 /> RENIARKS (in house): <br /> 7 <br />