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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 63� S��Oti W���p ,�� <br /> PID: <br /> DESCRIPTION OF WORK: �.3A-3t=/�/��r'� F7��Sr� <br /> ZONING REVIEW BY.� �N I I� � Y� DATEAPPROVED.���y <br /> BUILDINGREVIEWBY: DATEAPPROVED: ,�.,�. o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: w �~ � <br /> PERMIT Yes ./ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes / No GT ATER CONNECTION <br /> INVESTIGATION FEE Y'es No—� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �/1/J C(�i+�/��� „� �y�� N^ <br /> Fire Department: Post O�ce School District: <br /> Lot Area: Sg.ft. Acres W'idth Depth <br /> Survey Submitted: Yes 1Vo Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake�: Righ Side: <br /> Rear(Street): Left de: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: Bt�: Council Approva!Date: <br /> Septic: StaffApproval Date: _ By: � <br /> ��,� <br /> Zoning File: # Resolution: � Resolution Date: <br /> Shoreland District: MCKD Pernzit: <br /> .4vg. Setback.• Bluf Setback: LotCoverage: <br /> F�is ing Proposed <br /> Hardcover: 0-7.i' <br /> ��-��D' <br /> ?JD-�0�� <br /> .i 00-1000' <br /> Hardcover Fariance Required: Yes :�'o Date of Council.4pproval: <br /> REM.4RKS(in house): <br /> 33 <br />