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, � CHECK OFF LIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �l'�n sTv!�/�,��/�q� <br /> PID: <br /> DESCRIPTIONOF WORK: �G�c. <br /> ZONING REVIEW BY.• e DATEAPPROVED: �—�(��G <br /> BUILDING REVIEW BY.• DATEAPPROVED: �-�� - 07 <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 �/ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: ' <br /> Fire Department: Post�ce: School District: <br /> LotArea: Sq.ft. Acres�' 2'3� Width Depth <br /> Survey Submitted: Yes � No Date of Survey: U � {It ��y� t 8 <br /> Proposed Setbacks: u� � <br /> Front(Lake): /�� n.�ag�it Side: /?�C} <br /> r �„{}1 <br /> Rear(�): d L�'t Side: � <br /> p�� r /�� / <br /> Adjacent Structures: �(� Wetland: V� <br /> Building Height: Def. Hgt. h/C} Peak Hgt. <br /> Lot Coverage: /']� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Sta,fJ'Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: n,� MCWD Permit: <br /> Avg. Setback: B1uffSetback: LotCaverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover f�ariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />