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, CHECK OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> j � ADDRESS OR LEGAL: i fl35 5 N��w o��n <br /> PID: <br /> DESCRIPTIONOF WORK 1c�T-�,J �p�-Z <br /> ZONING REVIEW BY.• 1 DATEAPPROTIED: <br /> BUILDINGREI�IEWBY: �-- DATEAPPROVED: ta•z-b7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <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 (spec�) <br /> ZONING CHECK LIST Zoning District: v C <br /> Fire Department; Post Of,fice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted.• Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right ide: <br /> Rear(Streel): Left Si : <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. ak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: CouncilApproval Date: <br /> Septic: StafjApproval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Setba : Lot Cwerage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required.• Yes No Date of Council Approval.• <br /> REMARKS(in house): <br /> 33 <br />