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` ` � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I y�b PAR1� �Q � <br /> PID: ' <br /> DESCRIPTION OF WORK: ,4rny�„-� 6,3,�s�c�s <br /> Z0.�1I�1i G REVIEW BY: DATE APPROVED: 9-��-03 <br /> BUILDING REVIEW BY: DATE APPROVID; 9 -i s �0 3 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pER�1�IIT Yes �/' No <br /> pLAi�T REV�W Yes ,/' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST zoning Districc: . <br /> Fire Department: � Post Office: School Districr. • �. <br /> Lot Area: Sq�.ft. Acres � Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: i -i�l-�� <br /> Proposed Setbacks: � � � <br /> Front(Lake): �'7' Right Side: Z.�g' . <br /> Rear(Street): 2b�d Left Side: ( I S � <br /> Adjacent Structures: A��'nAul>4et.� �Vetland: •— . <br /> Building Height: Def. Hgt. p.l� Peal:Hgt. <br /> Lot Coveraoe: �� <br /> Gradina: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: � <br /> Shoreland District: Nv <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Eacistmg Proposed <br /> Hazdcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REl�2A.RKS(in house): �� <br /> � . . . <br />