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� � . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�7 U C. �rr�� O�c t-�-r�►� w A� - -- - <br /> PID: <br /> DESCRIPTION OF WORK: (\r r w �z..�S <br /> ZO.VI�1i G REV�W BY: DATE APPROVED: S- Z s - °3 <br /> BUILDI�i tG REVIEW BY: DATE APPROVID; ,;-v�e �03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAl�I REVIEW Yes r/ No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes�� No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC�Units 2 OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres " Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: 5•2--03 <br /> Proposed Setbacks: � � <br /> Froat(Lake): 1�U Right Side: �1'�•� <br /> Reaz(Street): I62 Left Side: `�{'8� <br /> Adjacent Structures: N I✓a Wetland: N 1/� <br /> Building Height: Def. Hgt. z? ' Peak Hgt. 3 0� <br /> Lot Coverage: N��A <br /> Grading: Staff Approval Date: 5 - Zg-�'3 By: � Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: ��S <br /> Avg. Setback: N 1� Bluff Setback: N I•R Lot Coverage: <br /> g���g Proposed <br /> Hazdcover: 0-75' " <br /> 75-250' "' �,S� <br /> 250-500' <br /> 500-1000' 3 °?o <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMA.RKS(in house): <br /> 7 <br />