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r . �' <br /> CHEC%OFFLIST FOR ISSUANCE OFPERMITS � <br /> ADDRESS OR LEGAL: F�OFFI�CE USE ONLY <br /> PID: `� . <br /> DESCRIPTIONOF WORS.• h l a / a— <br /> ZONING REVIEW BY.• � DATEAPPRDT�ED: Z <br /> BUILDING REVIEW BY.• DATEAPPROi�ED: <br /> � -11-0� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes_� ]vo <br /> P���Ew �'eS—rC N� SEWER CONNECTION <br /> STATE SURCHARGE Yes �/" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> `s`qC YeS N� �/ SITEAISPECTION <br /> IVumber of SAC Units Q s,�; ,� 8_g_o,g OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. • Acres Width <br /> Depth <br /> Survey Submitted.• Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: _ �I�f LQ�I'!O'►� C,IJ Cl��' <br /> Rear(Street): Left Side: �-/ �h a <br /> • �����G��� <br /> Adjacent Structures: Wetland.• - <br /> Building Height: Def.Hgt. Peak Hgt. <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By� <br /> Zoning File.- # Resolution: # __ Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg.Setback.• B1uffSetback; " <br /> Lot Coverage: <br /> Hardcover: 0-75' <br /> ���'ng Proposed <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Reguired.• Yes No Date o CouncilA <br /> .f pproval: <br /> REMARKS(in house): <br /> 33 <br />