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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFI E USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORKrshnq n 9 L�/Vc_.P.,, tmilhle.gGl' <br /> ZONING REVIEW BY.• L DATEAPPROVED: <br /> BUILDING REVIEW BY. DATEAPPROVED: to•-31_o-� <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 r/ SITEINSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post ice: School District: <br /> Lot Area: Sqft. Acres , Z•Li Width Depth <br /> Survey Submitted. Yes V-' No Date of Survey: _ <br /> Proposed Setbacks: <br /> Front fes" Right Side: 0,,'- <br /> Rear <br /> Le <br /> ft&de: <br /> Adjacent Structures: (400 Wetland- <br /> Building Height: .f = <br /> Buildin ht: De. H <br /> g �• Peak Hgt. <br /> Lot Coverage: <br /> d'1/�_ <br /> Grading: Staff Approval Date: By: Council Appr al Date. <br /> Septic: StaffApp•oval Date: A By; <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> h <br /> 250-500' �-,'C(IGt�`��G <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house):.—AP '�Y17 yjp� (t(/nsl((wC/ ni'c7,n(`/"l <br /> 33 <br />