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CHECg OFFLIST FOR ISSUANCE OFPERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l ZZ 5 .S H-p,2�-z�.�,e b�,��,,.,� <br /> PID: � <br /> DESCRIPTIONOF WORK: �G�uaD�c..o ,�J�ZQ�N� <br /> ZONING REVIEW BY.• 1 DATEAPPROVED: <br /> BUILDINGREVIEWBY.• DATEAPPROVED:�-�{-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PE��' Yes_� No <br /> PLAN REVIEW Yes ,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> WVESTIGATION FEE Yes No r� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 1�v G K��qy�,,� <br /> O' <br /> Fire Departmerrt: Post Of�'ice: 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(Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def.HgZ. Peak Hg <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StafjApproval Date: � By; � <br /> Zoning File: # Resolution: # R olution Date: <br /> Shoreland District: MC D Permit: <br /> Avg. Setback: BluffSetback. LotCaverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />