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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 417S-3 /yelanf shwee D/1 . <br /> PID: <br /> DESCRIPTION OF WORK: NOP-f 2&.S7 <br /> ZONING REVIEW BY: DATEAPPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; s-al -o 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ri No WATERCONNECTION <br /> INVESTIGATION FEE Yes No v' PARK FEE <br /> SAC Yes f No SITEINSPECTION <br /> Number of SAC-Units —t— OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. $,. /72 Acres 19 Width "D_' Depth <br /> Survey Submitted: Yes pt No Date of Survey: K-I f- 03 <br /> Proposed Setbacks: <br /> Front(Lake): 9► Right Side: Co-1 b <br /> Rear(Street): 14--7:5 Left Side: 10 <br /> Adjacent Structures: N 14 Wetland: IJ/4 <br /> Building Height: Def. Hgt. 2"1` Peak Hgt. 32-' <br /> Lot Coverage: 15'0 0 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: Af/(.f By: <br /> Zoning File: # o3-70387 Resolution: # Resolution Date: f-L45-o3 <br /> Shoreland District: !j-e.5 <br /> Avg. Setback: Bluff Setback: !y ' Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 9.35 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />