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, F . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2� o� 5���,rZw oo�ps r�2 <br /> PID: <br /> DESCRIPTIONOF WORK: �ECK (Zx.Pt,sc.r,�en,r <br /> ZONING REYIEW BY.• �� DATEAPPROVED: �i• S-o$ <br /> BUILDING RET�IEW BY.• DATEAPPROVED: 11• S-o g <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 /> WVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: o C �„ <br /> /�+ K inr c� �.�Y1 l�4 C�a v�-a-� <br /> 0� <br /> Fire Department: Post Office: School District.• <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacenl Structures: N�etl nd: ' <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Sta,f�'Approval Date: By: Council Approval Date: <br /> Septic: Stuf�`'Approval Date: By. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit. <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover.• 0-7.i' ' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover i�ariance Required.• I'es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />