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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I� �b l.onn� �„�,,p A �4v� <br /> PID: . <br /> DESCRIPTION OF WORK: A�o p��,o eu <br /> ZONING REVIEW BY: DATE APPROVED: �'-/ -0 3 <br /> BUILDING REVIEW B : DATE APPROVED: .S-� -03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes -�' No <br /> PLANREVIEW Yes � No SEWER COIVNECT70N <br /> STATE SURCHARGE Yes � No WATER COIVNECT70N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres �dth Depth <br /> � Survey Submitted: Yes x No Date of Survey: /o-r 5-`T'O <br /> Proposed Setbacks: <br /> F�+ent (Lake): �i S� "�' Right Side: ��' + <br /> Resr (Street): 11 a' � Left Side: ( 0' � <br /> Adjacent Structures: R'��-�-'b Wetland: — <br /> Building Height: Def. Hgt. �,�_ Peak Hgt. <br /> Lot Coverage: p .(L <br /> Grading: Staff Approval Date: — By: Counci[Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: �t — Resolution:# Resolution Date: <br /> Shoreland District: �y,pg <br /> Avg.Setback: u.Ic �r� Blu}�`'Setback: /�/!/�- Lot Coverage: �✓(�!� <br /> t N.�• Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 27. �i z5 .� <br /> zsasoo� <br /> 500-1000' <br /> Hardcover Yariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />