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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FO�FICE USE/ONLY <br /> ADDRESS OR LEGAL: /3 Y� 1�¢s� �c,�N 1� Clrc�Q— <br /> PID: <br /> DESCRIPTION OF WORK: �/�J cv S� <br /> ZONING REVIEW BY.• DATEAPPROVED�G �_�__ <br /> BUILDING REVIEW BY.• ���' , � DATEAPPROTjED: t� L��,� <br /> ---------------_____----- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes�� No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number ofSAC Units fq„� 4•i7��� � ����;� OTHER (spec�) <br /> — ---------------------__----------------________________________-----------------_------------- <br /> ZONING CHECK LIST Zoning District: (.��— � C. <br /> Fire Department: Post O�ce: School District• <br /> � � <br /> Lot Area: Sq.ft. Acres , 3� Width �p. Depth Z,3d f- <br /> Survey Submitted: Yes No Date of Survey: � �4 a� <br /> Proposed Setbacks: <br /> /�.t�SeC� (OI Z 2�0 7 <br /> Fronl(Lake): � ����"t �t Side: �� . �� <br /> Rear(Street): �3G� ��ide: <br /> Adjacent Structures: b�p- Wetland: �'1�' <br /> / <br /> Building Height: Def. Hgt. �� Peak Hgt. <br /> Lot Coverage: ��}, 2��,b TK <br /> Grading: Staff Approval Date: �rf/uPd t�b/a�y: � Council Approval Date: <br /> Seplic: StaffApproval Date: �/� By.• <br /> Zoning File: # � ' � Resolution: # Resolution Date: � � Ci�] �� CWd�F�� <br /> Shoreland District � MCN�D Permit: <br /> Avg. Setback: O�- BlufJ�Setback: LotCoverage: <br /> Existing Proposed } <br /> Hardcover: 0-75' �� ¢.x�s{�� f2�A�►w�9 wi�l <br /> 75-250' 2,5�g�i dr Z7.QZ% <br /> 250-.i 00' ..— <br /> 500-1000' _ <br /> Hardcover l�ariance Required: Yes� No Date of Council Appr•oval: (/ � t1 <br /> RE�ARKS(in house): / " U .: -� �I V 7�( � <br /> .-� , <br /> �. �J - <br /> � 33 <br />