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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 39� .Svss�.=-�z GA�cr <br /> PID: <br /> DESCRIPTION OF WORK: �q�z,�,g� <br /> ZONING RET�IEW BY.• G % �� DATEAPPROVED: �•z�i - c�� <br /> BUILDING REi�7EW BY.• � DATEAPPROijBD: �� - z�(- ��► <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 CHEC%LIST Zoning District: <br /> Fire Department: Post O�ce: School District.• <br /> Lot Area: Sq fi. Acres Width Depth <br /> Survey Submitted.• Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> � Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: //•2 I- C�'� By: (,cJG Counci/Approva!Date: <br /> Septic: StaffApproval Date: gy; <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetback.• LotCoverage: <br /> Existing Proposed <br /> Hardcover: D-7.i' <br /> 75-�50' <br /> 2.i 0-500' <br /> .i 00-1000' <br /> Hardcover f'ariance Reqz�ired: 3'es N'o Date of Council Approval: <br /> REMARKS(in house): �c�N►N v l� ,D D�UP� �•zS -O� w �-n� '�p�N,,Q�4r ovJ <br /> � � � Zvo$—oc�o9 � s,T <br /> � � a —0 09 <br /> 33 <br />