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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 3 o y s N�A�ny�oo� (Ze,,4q <br /> PID: <br /> DESCRIPTION OF WORK: (,J,�,� ni4i,,,�,q.be /2,E�A,2 <br /> ZONING REVIEW BY.• A � DATEAPPROVED: � <br /> BUILDINGREI�IEWBY.• DATEAPPRO[�ED: /o-��-og <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLA1V REVIEW Yes� No—� SEWER CONNECTION <br /> STATE SZIRCHARGE 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 CHECIf LIST Zoning District: N o c���.,y,Q � <br /> d- <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: � <br /> Building Height: Def.Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading.• Staff Approval Date: By: Counci!Approval Date: <br /> Septic: StafJ'Approval Date: gy• <br /> Zoning File: # Resolution.• # Resolut on Date: <br /> Shoreland District. MCWD ermit: <br /> Avg. Selback: BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-7.5' <br /> 75-2�0' <br /> 2.i 0-500' <br /> 500-1000' <br /> Hardcover I�ariance Required: Yes No ate of Council Approval.� <br /> REMARKS(in house): <br /> 33 <br />