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CHECg OFFLIS7'FOR ISSUANCE OFPERMITS <br /> FOR OFFICE�SE ONLY <br /> ADDRESS OR LEGAL: _ Z�'„ �'�-j JG,�,f�� �( ��� <br /> PID: <br /> DESCRIPTION OF WORK.• <br /> ZONING RETjIEW BY.• �t� � DATEAPPROVED: �j G 5G� <br /> BUILDINGIZEl�IEWBY.• DATEAPPROT�ED: /r• tb -c�� <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No NJATER CONNECTION <br /> WVESTIGATION FEE Yes No�— PARK FEE <br /> SAC Yes No_ < SITEWSPECTION <br /> Number of SAC Units {�,. G Il�a-i�cH�,-�a� OTHER (spec�) <br /> -� nw"T- '��35 !t-2�Cob <br /> ZONING CHECg LIST Zoning District: _'� <br /> Fire Department: Post O�ce: <br /> School District.• <br /> Lot Arect: S . •� � � ��e� �} � <br /> 9.f�•� Acres � � Width �- Z'�� Depth <br /> Survey Submitted.• Yes� No Date of Survey: � �� <br /> Proposed cks: � � <br /> ront(Lake): � Right Side.• � <br /> � � � <br /> (Street): �� Left S��� �j��� • <br /> Adjacent Structures: YG'etland: � ��'�� <br /> � � / <br /> Building Height: Def. Hg2. Peak Hgt. <br /> Lot Coverage: � . Z� ��j�� � <br /> Grading: Staff.4pprov�l Date: By: Council Approval Date: <br /> Septic: StafJ'Approval Date: By, ��-- <br /> Zoning File; # � Resolution: # Resolution Date: <br /> Shoreland District.� MCWD Permit: <br /> ,4vg. Setback.• BZuffSetback: <br /> Lot Coverage: <br /> Fxisting PropQsed <br /> Hardcover: p_'S� �) <br /> 75-250' ,n <br /> 250-500' �'�V/�/d <br /> 500-1000' ---��I'/D <br /> Hardcover Variance Required: 3'es _ No� <br /> Date of Council,Approval: <br /> REMARKS(in house): <br /> 33 <br />