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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8'.›O oLAO CP- <br /> PID: <br /> DESCRIPTION OF WORK: Ai 6 s-r-bilivee Gup cm <br /> ZONL G REVIEW BY: �� DATE APPROVED: 3 -Z b -03 <br /> BUILDING REVIEW BY: DATE APPROVED; 3-ze •03. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WAIERCONNECTION <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 AL No Date of Survey: ON <br /> Proposed Setbacks: <br /> Front(Lake): I nA` } Right Side: 100 <br /> Rear(Street): I�� Left Side: Z.S` �• <br /> Adjacent Structures: 10 fi Wetland: Z b` + <br /> Building Height: Def. Hgt. cP4 Peak Hgt. <br /> Lot Coverage: -- <br /> Grading: <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: - By: <br /> Zoning File: # _ Resolution: # Resolution Date: <br /> Shoreland District: /J() <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 />