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a - . <br /> .� <br /> � . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � '� FOR OFFICE USE ONLY 3� (3 o�tNs P��N�` �-�a^'�,S <br /> � •ADDRESS OR LEGAL: L�� l �4�ea c� / �i�v�eJ ,/�A.�.� �a el <br /> '� PID: <br /> DESCRIPTION OF WORK: u���, �p�-t�tc.l+�,� G�4�-,4c�c� -- <br /> ZONING REVIEW BY: DATE APPROVED: �- 2-0 3 <br /> BUII�DING REY�W BY: � � DATE APPROVED: 9 - z--�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERNIIT Yes � No <br /> pI,A1�T REVIEW Yes ✓� No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> IlWESTIGATION FEE Yes No �/' PARK FEE <br /> SAC ., Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�'ING CHECK LIST Zoning District: C1�• I/3 <br /> Fire Department: Post OfFice: School District: <br /> Lot Area: Sq.ft. lo Z ,03S Acres 1•`��-t Width I g 3•'s -- Depth - <br /> Survey Submitted: Yes_� No Date of Survey: "r- 8-03 <br /> Proposed Setbacks: <br /> Front(Lake): l I U Right Side: ?� � <br /> Rear(Street): I bs Left Side: f 53 <br /> Adjacent Structures: �5� Wetland: /`��� <br /> Building Height: Def. Hgt. (9•(�- Peak Hgt. — � <br /> Lot Coverage: 1 �O � <br /> Grading: Staff Approval Date: — By: � Council Approval Date: <br /> Septic: Staff Approval Date: — By: � <br /> � Zoni.ng File: # 03-Z°t3 Z Resolution: # — Resolution Date:— . . . <br /> Shoreland District: V�5 <br /> Av�. SetbackT � 1 i� Bluff Setback: �✓�/9� L.otCoverage: � �° <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' iS �� <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />