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CHECK OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2„�S S SN 111�1 N �2 <br /> PID: <br /> DESCRIPTION OF WORK: �,T�,�,,,,�, (�K,�n�,,--� <br /> ZONING REVIEW BY.• N I►� DATEAPPROVED: <br /> BUILDINGREVIEWBY.• DATEAPPROilED:_(.ZA. og <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIEW Yes_� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATIQN FEE Yes No—�` PARK FEE <br /> SAC Yes No—� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: _/lJp C Fh'` O - - <br /> Fire Department: Post Office: 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(Stree^t): Left Side; <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def.Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: , Council Approval Date: <br /> Septic: StaffApproval Date: __ /�J gy. ���� <br /> —_—r'�- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit.• <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2S0-S00' <br /> 500-1000' <br /> Hardcover Variance Reguired: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />