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. • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: tis v 63�c� ,�S c�4r�'/J <br /> PID: <br /> DESCRIPTION OF WORK: ���L(� <br /> ZO�"1�1G REVIEW BY: DATE APPROVED: /v�z y—63 <br /> BUII.DI�i 1G REV�W BY: DATE APPROVED; /o- L �i , �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLA1�T REVIEW Yes v' No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes � No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: 3-Z�•03 <br /> Proposed Setbacks: <br /> Front (Lake): !y 3� fi Right Side: /t-f�� -`-- <br /> Rear (Street): 3"7� �= Left Side: �� � �= <br /> Adjacent Structures: Zi' i Wetland: -- <br /> Building Hei;ht: Def. Hgt. �. � Peal:Hgt. — <br /> Lot Coverage: /� !� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: U�5 <br /> Avg. Setback: iv�/�J- Bluff Setback: L.otCoverage: — <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' �'�C <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />