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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z-1`S K c � rw � <br /> PID: - <br /> DESCRIPTION OF WORK: P►nEh►c��..' (3�,�.�,n, v <br />. Z0�1G REVIEW BY: DATE APPROVED: �•z�-03 <br /> BUILDTiYG REV�W BY: DATE APPROVIDt �•zi=o� � � <br /> FEES TO BE CHARGED: . Misc. Fees Calculated By: <br /> PERII�IIT Yes _,� No <br /> PLAi�1 REVIEW Yes �/' No SEWER CONNEC"TION <br /> STATE SURCHARGE Yes _� No WATERCONNECITON i�,938.00 <br /> INVESTIGATION FEE � Yes No r/ PARK FEE <br /> SAC Yes _/� No SITEINSPECTION <br /> Number of SAC•Units � <.. �,�„�,,,�p 3.��.�3 OTHER (specify) � z,q�t,.00 <br /> ZONING C�IE.CK LIST Zoning District: �~�W �ORr��AreR A�uo �I�AiNA�e T12�NK <br /> •. FEE <br /> Fire Department: � Post Office: School Districr. • � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes X No Date of Survey: 3-�I- �z- <br /> Proposed Setbacks: � � <br /> Front(Lake): '�o� � Right Side: $� � � � <br /> Reaz(Street): 30' �5� Left Side: 3> (_�� <br /> e <br /> Adjacent Structures: N/A �Vetland: N�A . <br /> Building Height: Def. Hgt. 2�' Peal:Hgt. '3�' <br /> Lot Coverage: N 1�1 <br /> Grading: Staff Approval Date: '1-ZI-0'3 By: � Council Approval Date: <br /> Septic: Staff Approval Date: N/A By: <br /> Zoning File: # — Resolution: # Resolutioa Date: � <br /> Shoreland District: N d <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed � <br /> Hardcover: 0-?5' <br /> 75-250' <br /> ?SO-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): O�o�s o Cm�DM �r,, (3-l�.5 a F F i C� uiv�'i c. Go.••,DLt.��o nl <br /> 7 <br />