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� . • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FO�OFFICE SE ONLY <br /> ADDRESS OR LEGAL: ��/� ' �,-n y �,��� <br /> PID: � <br /> DESCRIPTIONOF WORK.• �' /(� x �� 'c,' �j�%i/�c� �.��- ������., <br /> — �ari�� � , d � � ;,�i�rde�5 <br /> —�-_____. „- ��,, <br /> ZONING REVIEW BY.• DATEAPPROVED,__��`SQ�� <br /> BUILDING REi�IEW BY.• DATEAPPROT�ED. �Z��_ v-� <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes—� No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ��__�ARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECIf LIST Zoning District: �`��� y� �� <br /> Fire Department: Post Off ce: School District: <br /> LotArea: Sg.ft. Acres ��C�y Width ��� � ��� ��� <br /> Depth <br /> Survey Submitted: Yes� No Date of Survey: � Z�.� <br /> Proposed Setbacks: � p�� <br /> Front(Lake): Z� .�ight Side: <br /> ' c,u�� <br /> Rear(Street): � �Side: d'j�- <br /> � <br /> Adjacent Structures: `/f� Wetland: ,5� C%h /��. �/��p�(.t� <br /> Buildin Hei ht: De. H � �� ``�� �� �� <br /> g g f �• Peak Hgt. <br /> Lot Coverage:��� �Z7�(,¢j <br /> Grading.• StaffApproval Date: By: Council Approval Date; <br /> Septic: StaffApprovalDate: �� ��-(�7 By. (�r <br /> Zoning File: # esolution: # Resolution Date: <br /> Shoreland District: � <br /> MCWD Permit: <br /> Avg. Setback: �� Bluff Setback: �/!� Lot Coverage: <br /> Existing Pro osed <br /> Hardcover: �57250 , '� (S��� �, �P�-�- �S� S� <br /> 250-500' I � /.�.�1/U� ����S,� %v� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No V Date of Council Approval: <br /> RE11�4RKS(in house): /�C,y�_ S��t,t�iy .��}n�'� <br /> �� � , ctir c:c�C, (.i�k.2 ��5 IOCY <br /> 33 <br />