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CHECIC OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE�N LY <br /> ADDRESS OR LEGAL: 2'`Z���� S�-'L`C ��/rj"jjL'�'11�%I <br /> PID: <br /> DESCRIPTION OF WORK � �� �/ �` ,y� �� a <br /> ZONING REVIEW BY.• � � ' DATEAPPROVED: 2� <br /> BUILDING REVIEW BY.• DATEAPPRO�ED: _6 •Lg -p& <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 (specify) <br /> ZONING CHECK LIST Zoning District.�Y � —/ G �""�-"__ <br /> Fire Department: Post Off ce: School District.• <br /> Lot Area: Sg.ft. ���.)v I Acres Width �� Depth �� <br /> Survey Submitted: Yes� No Date of Survey: (J / Q, f v�(f S��Z Z/Q� <br /> Proposed Setbacks: �i�g� , <br /> Front(Lake): �/:.} Rrgkt Side: l U <br /> Rear(Street): Q�C �� v <br /> �ft Side: G /� <br /> Adjacent Structures: �� Wetland: � <br /> Building Height Def. Hg2. ��C— Peak Hgt. <br /> Lot Coverage: �GH" `T . 7U�C� <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApp�roval Date: _����G��,� By;� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback.• B1uffSetback: LotCoverage: <br /> Exist� Proposed <br /> Hardcover: D-75' <br /> 75-250' Z����1� �C <br /> ?so-soo� �v ;,l�,,y,� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): rCJ �! ! � �l C`j,�,L3 ��'(�2���� <br /> f��.4�� " �— <br /> 33 <br />