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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> . . ADDRESS OR LEGAL: 33Z.� CR4 S�►°��- �3►a� c�,� � <br /> PID: - - - - <br /> DESCRIPTION OF WORK: rv� (�-s <br /> ZOVI�i tG REVIEW BY: DATE APPROVED: 7•/�-03 <br /> BUII.DTiVG REV�tiV BY: <�� DATE APPROVED; -7-r o-03 <br /> -a ---____- _-- _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1tiiIT Yes _,� No <br /> pLAi�t REVIEW Yes � No SEWER COi�TNECITOi�i <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No �- PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC�Units 7'RAnrsFe7z�� F�. ���,�o OTHER (specify) <br /> ZO�T�1i G CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. 3�v t Acres .d� � Width �� Depth <br /> Survey Submitted: Yes ,c No Date of Survey: Z-�►•b 3 <br /> Proposed Setbacks'. � <br /> Fron[(Lake): 53' Right Side: i o� <br /> Rear (Street): 5 Left Side: �o` <br /> Adjaceat Structures: �V�✓�1 �Vetland: iv/i9 <br /> Buildin�Hei�ht: Def. Hgt. Z 43.5' Peal:Hgt. 3�� <br /> Lot Covera�e: �z.o� sy�r <br /> Gradina: Staff Approval Date: �-°�- �3 By: .�a " Council Approval Date: - <br /> Sepcic: Staff Approval Date: �V//3 By: <br /> Zoning File: # o3-z8�� Resolution: � Resolution Date: �-Z�-03 <br /> Shoreland Dis[rict: y�5 <br /> Avg. Setback: vA���tNu= Bluff Setback: N I A L,ot Covera�e: <br /> Existing Proposed <br /> Hardcover: 0-75' ��•�� <br /> 7�-250' y2.�z i <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�c_ No Date of Council App:oval: �-f-Z�-°3 <br /> REI�LARKS (in house): <br /> 7 <br />