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- CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 7 3 O S��� �-� <br /> PID: <br /> DESCRIPTION OF WORK: �„er-n.�c ��,,y�w,��;-L. <br /> ZONING REVIEW BY.• DATEAPPROT�ED: n� ��^ <br /> BUILDINGREi�IEWBY.• DATEAPPRO[rED: !�- Z2 - v> <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: �~ �� ~ ��_�_ <br /> PERMIT Yes e/ No �- <br /> PLAN REVIEW Yes�/�o� SEGi ER CONNECTION <br /> STATE SURCHARGE Yes ✓ No G�'ATER CO.NNECTION <br /> INVESTIGATION FEE Yes No �PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> -----��-�-----��----�---��- <br /> ZONING CHECK LIST Zoning District: �v U G(�F�.�/ <br /> Fire Department: __ Post Off ce: chool District: <br /> Lot Area: Sq.ft. Acres W"idth Depth <br /> Survey Submitted: Yes IVo Date of Sz�rvet�� <br /> Proposed Setbacks: � <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: '� <br /> Adjacent Structures: Wetland:l <br /> Building Height: Def. Hgt. Peak H t. <br /> Lot Cover�age: � <br /> \ <br /> Grading: Staff Approva!Date: Bv: �_ Council Approval Date: <br /> Septic: Staff Approval Date: ����— �� gy; � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCW'D PermiL <br /> .4vg. Setback: _ BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-7.5' <br /> 7,i-2.i 0' <br /> �.i 0-.i 00' <br /> .500-1000' <br /> Hardcover i'ariance Required: fes IVo ate of Council,4pproval: <br /> REIILARKS(i�7 house): � <br /> ' <br /> 33 I <br /> �� <br />