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, , . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> F� OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 7�� ���...� ,�;� <br /> PID: <br /> DESCRIPTION OF WORK ;r Lf��; 1 u- S Q� <br /> ZONING REVIEW BY.• �� DATEAPPROVED: � Z-�r <br /> BUILDING REi�IEW BY.• ,�,(,�_ DATEAPPROVED: S-� �v� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PERMIT Yes � No <br /> PLA1V REVIEYV Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes f� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes__ No-� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECIC LIST Zoning Distr�ict: ' / IJ <br /> Fire Department: Post Office: School District.• <br /> Lot Area: Sq.ft. .�� �]7 Z Acres Width 1 V��-f v�� Depth �7� � <br /> Survey Submitted: Yes� No Date of Survey: ��� {���/ y�2�/U 9 <br /> Proposed Setbacks: � <br /> Front(Lake): � Q h�— <br /> i <br /> Rear(Street): s �. <br /> i <br /> � Adjacent Structures: �� � Wetland: �/.� <br /> Building Height: Def. Hgt. ____:���_ � Peak Hgt. 2�� �/ <br /> Lot Coverage: !Q. �p8 %U 2 2� � <br /> Grading: S1affApproval Date: _ 7 � Op/ By:�o y Council Approval Date: /�/�. <br /> Septic: StaffApproval Date: !�^"� ��� By: �lj' <br /> Zoning File: # O�7 -3�QJ Resolution: # Resolution Date: "/"��'V� <br /> Shoreland District.• � MCWD Permit: <br /> Avg. Setback: �/C} Bluff Setback: Lot Coverage.• <br /> Fxisting Pro sed <br /> Hardcover: D-75' �d �23•3�G <br /> 75-250' - <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Reguired: Yes�No Date of Council Approval: �� a <br /> REMARKS(in e): , <br /> �s s�e r�.s o��.ccJ 23 - t,uJ s uv �o c <br /> 33 <br />