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CHECK OFF LLST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE OI�Z.Y <br /> A.DDRESS OR�i.EGAL: 21 3 0 �r+c_�9S�IN T /20� <br /> PID: <br /> DESCRIPTION OF�i'ORK: G�4296L /�/�o i�e� �+Nn �—rn.o Oc� <br /> --------- ----------------------------_-- o <br /> ZO.�i tG REVIEW BY: � DAT'E APPROVED: t�-i 8 3 <br /> BUILDI�IG REVIE�' BY: DATE APPROVID; � � - �4 •03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAl�t REVIEW Yes _,� No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes �/ No WATERCONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Unirs OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: � <br /> Lot Area: Sq.ft. Z5, 2�K• 8 Acres ,r/S $ Width Depch <br /> Survey Submitted: Yes�_ No Date of Survey: y-/o �03 <br /> Proposed Setbacks: <br /> ��(Lake): ]�' I�0'} Right Side: (,Z' <br /> Reer (Street): � 3b� t Left Side: � o .0 3 <br /> Adjacent Structures: �4'i'r���� �Vetland: N /� <br /> Building Height: Def. Hgt. D. �- Peal:Hgt. "-' <br /> Lot Coverage: (U'1� t <br /> Grading: Staff Approval Date: /�//id By: Council Approval Date: <br /> Septic: Staff Approval Date: Ill I✓� By: <br /> Zoning File: #1 — Resolution: # ResolL:on Date: <br /> Shoreland District: y �S <br /> Avg. Setback: �.1� Bluff Setback: n� //a L.ot Coverage: I 0`'�0 <br /> Ezisting Proposed <br /> Hazdcover: 0-75' � <br /> 7�-250' Z'1•b�( <br /> 2�0-500' O <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house)• <br /> 7 <br />