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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: q�>_ 3S /G®Ar)-( .s'/"/tE1 012 . <br /> PID: <br /> DESCRIPTION OF WORK: A)Cid <br /> ZONING UVIEW BY.• DATE APPROVED: 1/101103 <br /> BUILDING REVIEW BY.• �� � DATE APPROVED: o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes ✓ No SEWER C0NNEC77011L 6,703•ob —1.,j O3 <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESYTGA77ON FEE_ Yes No PARK FEE <br /> SAC Yes No SITE INSPEC770N <br /> Number of SAC Units 1 OTHER (specify) <br /> ZONING CHECKLIST Zoning District. L R- i 3 <br /> Fire Department. Post Office: School District. <br /> Lot Area: Sq;ft. t6,q Z.0 Acres ,62 Width IoS Depth <br /> Survey Submitted. Yes oC No Date of Survey: I Z-fat- G Z <br /> Proposed Setbacks: <br /> Front (Lake): I S 1 Right Side: i d <br /> Rear (Street): 40.3 Left Side: <br /> Adjacent Structures: N(q Wetland: ^!1A <br /> Building Height. Def. Hgt. 248 Peak Hgt. 3°t <br /> Lot Coverage: I(.,z <br /> Grading: Staff Approval Date: l-2-0'3 By: do.0. Council Approval Date: <br /> Septic: Staff Approval Date: N 14 By: <br /> Zoning File: # oz.Z 9 Z1b Resolution:# 7} Resolution Date: i o •)y-oZ <br /> Shoreland District: u e s <br /> Avg.Setback: o.lc. Bluff Setback: N/A Lot Coverage: <br /> Existing Proposed <br /> Hardcover. 0-75' <br /> 75-250' 13% Z Y• <br /> 250-500' Z•e 'z 01.to <br /> 500-1000' <br /> Hardcover Variance Required. Yes No - Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />