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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY S�8 3 �.A R IC L�Y�vL <br /> ADDRESS OR LEGAL: � ', ? '�'. � . _ ,. . , ,; �, ; ; ; ',fi j�3, � , 1 �':�..� ,j, ; ,��-!�, <br /> PID• '. - ' ';'4� <br /> DESCRIP'TION OF WORK: ,; ` � . ' , <br /> ----------- ------------�--------------------------------------------------------.----�_-�----------- <br /> ZO�TING REVIEW BY: C�.�..— DATE APPROVED• i o3 <br /> BUII..DING REV�W BY: DATE APPROVED: -�-31 �03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> pLAN REVIEW Yes � No SEWER CONNECT'ION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes � �e-� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHFR (specify) <br /> -------�-'-o2k_sr�2tz�_w1o__/���Zwi�r <br /> ZOr�iG CHECK LIST Zoning District: C�-�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. RS(�O Acres . 22 Width Depth <br /> Survey Submitted: Yes� No Date of Survey: �-f-!43 -D 0 <br /> Proposed Setbacks: <br /> F-�oat (Lake): f y 0� Right Side: 5 � <br /> Rear (Street): 3�� Left Side: 23' <br /> Adjacent Structures: � � Wetland: <br /> Building HeiQht: Def. Hgt. � .1� Peak Hgt. — <br /> Lot Covera�e: �'Z• 5 <br /> Gradin�: Staff Approval Date: �' By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 01-Zw� Resolution: # y 4 9� Resolution Date: �'Zg'"3 . <br /> Shoreland District: y�S <br /> Av�. Setback: p.�� Bluff Setback: iJ (.�- LotCoverage: Z.7•S <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' f�3.3 C� s N.� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: '7- Z-b� 03 <br /> RE�ZARKS (in house)• '. <br /> 7 . <br />