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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (e4 0 7-0 N 1C dist iN 2o,q 0 <br /> PID: <br /> DESCRIPTION OF WORK: p uoA. (=(O kF AA Le A,,vp PC:-z6 0C <br /> ZONING REVIEW BY.• DATEAPPROVED: S - g ,.pg <br /> BUILDINGREVIEWBY: DATEAPPROVED: S,-Ib-oc <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes Z' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> W VESTIGATION FEE Yes No_� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec) <br /> ZONING CHECKLIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sqft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Z20 f Right Side: 1 o 6� + <br /> Rear(Street): 150' Left Side: t c!0 } <br /> Adjacent Structures: 7-0 } Wetland: N t A <br /> Building Height: Def. Hgt. e//,4 Peak Hgt. <br /> Lot Coverage: y✓/A <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: _ By; <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setbac : B1uffSetback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No 9&- Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />