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, . � .,- <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: 3 Hy O ✓U n 27�f d rto�� Q2. <br /> PID: <br /> DESCRIPTION OF WORK: Q c;�-�= ,42l-�GL - <br /> ZO�tING REVIEW BY: DATE APPROVED: S- � - d 3 <br /> BUII�DING REV�W BY: DATE APPROVED: S-5 - 03 <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER��IIT Yes ✓ No <br /> pLAN �tEVIEW Yes ✓ No SEWER CONNECITON <br /> STATE SURCHARGE Yes i/ No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZOti�1G CHECK LIST Zoning District: <br /> Fire Depaztment: Post Office: School District:. <br /> Lot Area: Sq.ft. 3o,zs� Acres .���i Wid[h ,oo.3 Depth 3 00 ►4v e <br /> Survey Submitted: Yes oc No Date of Survey: S- Zg- �2 <br /> Proposed Setbacks: , <br /> Front(Lake): Z`i�l r Right Side: 1 b t <br /> Rear(Sueet): l 6' + Left Side: S6� � <br /> Adjacent Structures: Zl9� i Wetland: N iA <br /> Building Height: Def. Hgt. �•l� Peak Hgt. <br /> Lot Covera�e: ��`?, <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: 1# — Resolution: # Resolution Date: � . . <br /> Shoreland District: y�s <br /> Av�. Setback: o.l� Bluff Setback: ,� �/� LotCoverage: <br /> ExistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' ��.K 8 <br /> 250-500' z�� 5 <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No oc Date of Council Approval: <br /> REiI�IARKS (in house): <br /> 7 <br />