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1 CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 y?�0 5�,�,y,��,�n� <br /> PID: <br /> DESCRIPTION OF WORii: �'?x-vw���-L <br /> ZONING RETrIEYi'BY.• /U 1�A DATEAPPROVED: - <br /> BUILDING REI�IEN�BY.• DATEAPPROffED:�. ,,�_aq <br /> � FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PE��' Yes ✓� No <br /> PLAN REVIELIr Yes_�/ No SEYTjER CONNECTION <br /> STATE SURCHARGE Yes ./ No u'ATER CONNECTION <br /> WVESTIGATIOld FEE �'es No ,/ PARK FEE <br /> S�4 C Yes No�� SITE INSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECIC LIST Zoning District: <br /> Fire Department: Post O�ce: School Districz: <br /> Lot,4rea: Sq.ft. Acres idlh Depih <br /> Survey Submitted: I'es No te af Survey: � <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> ' • Adjacent Structures: Nfetland: <br /> � Building Height: Def Hgt. Peak Hg�. . <br /> Lot Coverage: <br /> Grading.� Staff Approval Date: Bl': Counci!Approval Date: <br /> Septic: StafJ.4pproval Date: gy. <br /> Zoning File: # Resolution: # Resoluti n Date: ,� <br /> Shoreland District: MCN D P rmit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Ha�•dcover: D-75' <br /> 'S-'�D' <br /> '�0-�00' <br /> .i 00-1000' <br /> Hardcorer 1'ariance Reqzrired: I'es Ido D te of Coaa�ci!Approval: <br /> REMqRKS(in house): <br /> 33 <br />