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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: q o O No A rH 65-6Wbe OR <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: y-i d - 03 <br /> BUILDING REVIEW BY: DATE APPROVED; Y-ro-o3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER(specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes Pet No Date of Survey: e,f ,;!'rW <br /> Proposed Setbacks: <br /> Front(Lake): !16 01 Right Side: `jo 4- <br /> Rear <br /> Rear(Street): ! Left Side: I SDI Jr- <br /> Adjacent Structures: +7774c44e.A� Wetland: N 4 <br /> Building Height: Def. Hgt. o .K Peak Hgt. o•IC <br /> Lot Coverage: N 14 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �V a <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <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 />