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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: G,O 1 PA R K I..AN'l: <br /> PID: <br /> DESCRIPTION OF WORK: (a�b,�-� oN /1't.�c��o�EZ <br /> ZO�TING REVIEW BY: DATE APPROVED: ��- �3-u 3 <br /> BUILD tNG REV�W BY: DATE APPROVED; �� -,3-0 3 <br /> FEFS TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes . ✓ No <br /> PLAN REVIEW Yes �/ No SEWER COTtNECTION <br /> STATE SURCHARGE Yes �/ No WA'tER CONNEC'I ION <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 District: . <br /> Fire Department: Post OfFice: School District: • <br /> Lot Area: Sq.fr. Acres � Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: i o-Z g�03 <br /> I Proposed Sstbacks: � <br /> Front(Lake): Right Side: .''� <br /> Rear(Street): Z$.3 Left Side: (o� <br /> Adjacent Structures: — Wetland: — <br /> Building Height: Def. Hgt. c�.(c Peal:Hgt. <br /> Lot Coveraae: Z o�1. <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 03-z�� Resolution: # Resolution Date: `I•��f•�3 <br /> Shoreland Disuict: y,PS <br /> Avg. Setback: N i�. Bluff Setback: N I a Loc Coverage: 2,O�b <br /> Eusting Proposed <br /> Hardcover: 0-75' •�I o3 <br /> �s-2so� s j e�b <br /> Zso-soo� <br /> soo-i000� <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: �1-i`�`° <br /> REMARKS(in house): <br /> 7 <br />