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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: Z2GY S�,�A/J�weo�D /loA�� <br /> PID: �,qq� <br /> DESCRIPTIONOF WORK: P�h�se.�-� a� c,S l /<�i� <br /> �____ ri <br /> ZONING REVIEW BY.• DATEAPPROi�ED: s Cl � <br /> BUILDINGREi�IEWBY.• DATEAPPROVED: • �f• tl �, <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 /> NumberofSAC Units , �'� o� �_s-_��q�� OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �/�—/ '� � <br /> Fire Department: Post O�ce: School District: <br /> ! <br /> Lot Area: Sg.ft. Acres , Width �� �'�' Depth .�� � <br /> Survey Submitted: Yes� No Date of Sur"vey:' ������7``Ye V� �12.s��� <br /> Proposed Setbacks: , qp�(ov¢s� � �j � <br /> Front(Lake): 5[�j �i�et Side: � �hlt�Ta'y lU �t A��hG� <br /> 30 � �t ` <br /> Rear(Street): l =� _ �,2ft Side: �ir�{xl �crC� ��•J��QF}✓'a� <br /> Adjacent Structures: �/f� Wetland.• ��} <br /> Building Height: Def. Hgt. ,�.,., Peak Hgt. �J ' tO n <br /> Lot Coverage: ��, Q8� <br /> Grading: StaffApproval Date: 2 By: /�oq Y Council Approval Date: <br /> Septic: Staff Approval Date: �!r� By: — <br /> Zoning File: # � ' Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg.Setback: V/�t�,r.a� Blu,fJ`'Setback: I.'l/� LotCoverage: <br /> , Existing Proposed <br /> Hardcover: '�0-75' <br /> 53( tG�2°�� <br /> �c�s-zso� 'LC�.3�0 <br /> 2so-soo� <br /> 500-1000' <br /> � <br /> Hardcover l�ariance Required.• Yes �No Date of Council Approval: <br /> REMARKS(in house): �p rnG+e„ ���� !�t ��''2� / <br /> � Qi✓ Vdh'i/�'vt p <br /> 33 <br />