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� <br /> CHECK OFF LIST FOR ISSUANCE OF PE I S� N • <br /> FOR OFFICE USE ONLY S�� <br /> ADDRESS OR LEGAL: .�� � ,j �f, i� � N • � I — Cl V�2hCu.S� <br /> PID: - <br /> DESCRIPTION OF WORK: P ��G d/� � �A� <br /> ZONING REVIEW BY.• � Y' DATEAPPROVED.'� f � <br /> BUILDING RE i�IEW BY.• DATEAPPROTtED:_3-�-��, <br /> FEES TO BE CHARGED: M Misc. Fees Calculated By.• � ���� � � <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No N�ATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOMNG CHECK LIST Zoning District wN Y �� � ���M�� ~ ��rN <br /> Fire Department: Post Offrce: School District.• <br /> Lot A�-ea: Sq.ft. Acres N�idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbaclrs.• <br /> Front(Lake): Right Side: <br /> r!o se.�6�.K,�ss�,es <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def Hgt. G�� Peak Hgt. <br /> Lot Coverage: h� <br /> Grading StaffApprovaT Date: � �' By.• Council Approval Date: <br /> ,—, <br /> Septic: StaffAppiroval Date: �S � 1 � `�gy• �— <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 1�/� MCWD Permit <br /> Avg. Setback: B1uffSetback.• LotCoverage. <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Ha�•dcover Variance Required: Yes No Date of Council Approval: <br /> �IP�v�GvS�� � <br /> REMARKS(inhouse): �Q:EA�✓/'►l/�.e.C1� �q� (O �( Of � U!G'2J <br /> _ rp.v�s r�► � �h <br /> 33 <br />