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-�' CHECK OFF LIST FOR ISSUANCE OF PERMITS � , <br /> FOR OFFICE USE ONLY • � <br /> ADDRESS OR LEGAL: Z13o A HEv�p,�,T �n,a,p � ' <br /> PID: <br /> DESCRIPTION OF WORK: ,OL-�c <br /> ZONING REVIEW BY: DATE APPROVED: 6-7v-03 <br /> BUILDING REVIEW BY: DATE APPROVED: �- � -c�-3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �r No SEWER CONNECITON <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 /> LotArea: Sq.ft. zs,Zb�t-� Acres . �`b Width �R�.sv�.2 Depth <br /> Survey Submitted: Yes�_ No Date of Survey: Y-1�- 0 3 <br /> Proposed Setbacks: <br /> Front(Lake): '(b'1� 'i' Right Side: 51' �.1�,� ���g <br /> E OZ'G+c. 'Z�� <br /> Reaz(Street): �p' t Left Side: i 3' �rt,�. d cu� 3�� <br /> Z y �o <br /> Adjacent Structures: - Wetland: -- <br /> Building Height: Def. Hgt. — Peak Hgt. — <br /> Lot Coverage: �o•2 2 <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: r- By: <br /> Zoning File: # Resolution; !i Resolution Date: <br /> Shoreland Disuict: y�o5 <br /> Avg. Setback: o.k n�.. a�. Bluff Setback: r�� Lot Coverage: � a+.k <br /> Existing Proposed <br /> Hazdcover: 0-75' o 0 <br /> 75-250' Z�.i-� 2y W <br /> 250-500' <br /> 500-1000' � <br /> Hazdcover Variance Required: Yes No�c Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />