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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> �. FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZ�Q ���q,p ,��,o �2 <br /> PID: <br /> DESCRIPTIONOF WORK: �NC4,�,o,,�,/� � I <br /> ZONING REVIEW BY.• �� DATEAPPROVED: g - ��,—�q <br /> BUILDING REi�IEW BY.• DATEAPPROVED: � _�Z_n� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PERMIT Yes_� No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes l/ No WATER C0IVNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: ���-_� ��� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�� No Date of Survey: ON �'�,� <br /> Proposed Setbacks: <br /> Front(Lake): !bs�� Right Side: _ Zp p� �' <br /> Rear(Stree[): �(�' 4' Left Side: �+ � ''' <br /> Adjacent Structures: Z�� Wetland.• ti/ y9 <br /> Building Height: Def.Hgt. ^ Peak Hgt. � <br /> Lot Coverage: /�///�} <br /> Grading.• Sta�'Approval Date: ^— By: Counci!Approval Date: <br /> Septic: Staff Approval Date: Lc.� `}-/D -D�'j By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /�Jt� MCWD Permit: <br /> Avg. Setback.• BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover !'ariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />