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CHECK OFF MST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY- <br /> ,ADDRESS OR LEGAL: 3 a S _j A h Zf dbCJAJ <br /> PID: <br /> DESCRIPTION OF WORK: Sc- �`� a ��Ze 60 <br /> -------------------------—------�---- <br /> ZONING REVIEW BY: ----� DATE APPROVED: <br /> DATE APPROVED: 5'-2S - <br /> BUILDING REVIEW BY. 0 9 <br /> FEES TO BE CHARGED:— -� Misc. Fees Calculated By: <br /> PERMIT . Yes ✓ No <br /> PLAN REVIEW � Yes ✓ No . -- SEWER CONNECTION _ <br /> STATE SURCHARGE Yes r/ No WATER <br /> CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No —� SITEINSPECTION <br /> SAC•Units OTHER (specify) <br /> --Number of-- ---------------------------------------------- <br /> --------------------------------------------------- <br /> ZOINUNG CHECK LIST Zoaing District: <br /> Fire Department: <br /> t Office: School District: <br /> Width Depth <br /> Lot Area: Sq.ft . Acres <br /> Survey Submitted: Yes <br /> No Date of Survey: <br /> Proposed Setbacks': Right Side: J" <br /> Front(Lake): ) <br /> e (Street): <br /> I Left Side: � ✓" <br /> Adjacent Structures: Wetland: <br /> Building Height: OY11- <br /> Def. Hgt. <br /> , Peal`Hgt. <br /> Lot Coverage: _!L " "� �� O AW6 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> S - IS--CD? By: (JCr <br /> Zoning File: #uw_ Resolution: r'?, Resolution Date: <br /> Shoreland District: 0— Lot Coverage: <br /> Ava. Setback: Bluff Setback: <br /> Ecisting Proposed <br /> Hardcover: 0-75' _ <br /> 75-250' <br /> 250-500' — <br /> 500-1000' <br /> V <br /> Date Oi Cou_ci! irr�'"'—• <br /> Hardcover Vari2nce Required: +es <br /> REL S (in house): <br />