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CHECK OFF LIST FOR ISSU�iNCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: �Zg�-i 3 F�2��`w c..A�v t <br /> PID: <br /> DESCRIPTION OF WORK: OCU< <br /> ZO�TING REVIEW BY: DATE APPROVED: 4- i � -03 <br /> BUII�DING REV�W BY: DATE APPROVED: 9- r� -�d <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATF.RCONNECTION <br /> INVESTIGATION FEE Yes No _s� PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z0��1G CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: R-�3•03 <br /> Proposed Setbacks: <br /> Front (Lake): 3 3 O� �` Right Side: �-fs ! � <br /> Rear (Street): `�� IZ3�"� �ft Side: /$�d � � <br /> Adjacent Structures: A�'T�q��rz..�'J Wetland: /�"�74� <br /> Buildin� Hei�ht: Def. Hgt. — Peak Hgt. <br /> Lot Covera�e: — <br /> Gradin�: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # " Resolution: # Resolution Date: . <br /> Shoreland Distric[: � <br /> Av�. Setback: Bluff Setback: LotCoverage: <br /> Exis(ing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> RENIARK.S (in house): _ ,- — <br /> 7 <br />