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� <br /> . � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /�iyv (��,.,rn� ('� �,¢.� <br /> PID: <br /> DESCRIPTION OF WORK: ,q.flp,n�,vS <br /> ZOY�1G REVIE`V BY: DATE APPROVED: �–Z 3-03 <br /> BUII�DI�i tG REVIE`V DATE APPROVED: ci– Z 3 -0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLA1�1 REVIEW Yes � No SEOVF�COi�tNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <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: G/�-/�1 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. �S,i c�� Acres l .u'�7 Width zz 5.Y�/ Depth <br /> Survey Submitted: Yes_ c No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): 3�•� Right Side: ��,q�, _ <br /> Rear(Street): �4 ' Left Side: 1�l2� 'Z <br /> Adjacent Structures: - �Vetland: — <br /> Building Height: Def. Hgt. u.k Peal:Hgt. <br /> L,ot Covera�e: <br /> Grading: Staff Approval Date: —' By: Council Approval Date: <br /> Sep[ic: Staff Approval Date: — By: <br /> Zoning File: # 3-2°+�2 Resolution: # Sb�3 Resolution Date: '�- ZB-� <br /> Shoreland Distric[: �� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Ezistine 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 /> REMARKS (in house): <br /> 7 <br />