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CHECK OFF LIST FOR ISSUANCE OF PERMITS ' <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S � �( Z�, � <br /> PID: <br /> DESCRIPTION OF WORK: �vE��, i2�5 <br /> ZO.�i G REVIE`V BY: DATE APPROVED: �-i 6-03 <br /> BUII.,DTi�tG REV�`V BY: DATE APPROVED; g_��=a3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11�1IT Yes �' No <br /> PLAl�t REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCOivNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI��1G CHE.CK LIST Zoning District: . <br /> Fire Department: Post O�ce: School District: � <br /> I.et Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: I o•2-b 3 <br /> Proposed Setbacks: <br /> Front (Lake): ��p Right Side: 131 <br /> Rear (Street): (7 '� Left Side: N�J.1 <br /> Adjacent Structures: N//-► �Vetland: /J�� <br /> Building Hei;ht: Def. Hgt. Z�l•S Peal:Hgt. �/J <br /> Lot Covera?e: N I✓� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: �:{�- (1 �� By: �`-�v• <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /'I!'� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Ezisting Proposed <br /> Hazdcover: 0-7�' <br /> 7�-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council App:oval: <br /> REI�iARKS (in house): �� (—U12(�'� �-PP�.( C�4-/�'� 1�/� U�T. <br /> (�1 A-rL(Z.S�c..� t��ST72.cr� � C�.�2.w�� �r— �� <br /> � � �`" � �,� - <br /> � <br /> ���,� <br />