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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 06 Wwa,v iu 06,n a <br /> PID: <br /> DESCRIPTION OF WORK: I <br /> ZONING REVIEW BY.• DATEAPPROVED: (01'9140(0 <br /> BUILDING REVIEW BY.- & <br /> DATEAPPROVED:FEES TO 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 /> -------------------____ _ _ _ __-------_______-----------------------�__�_________----------- <br /> ZONING CHECKLIST Zoning District►Z — ( B <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sgft. Acres Width Depth <br /> Survey Submitted. Yes—z No Date of Survey: G 2— <br /> Proposed Setbacks: <br /> Front(Lake): h A Right-8 a : <br /> Rear�1 : f �afF�Sicl�e� 1�0 t <br /> / s � <br /> Adjacent Structures: Wetland: 70 f <br /> Building Height: Def. Hgt. t1,0* Peak Hgt. <br /> Lot Coverage: jJ& <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: hi4 MCWD Permit: <br /> Avg. Setback: BhtSetback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): WeP?+yA b AW A.%&sg%w.k- c ,et kerl 1p IQ <br /> G — c <br /> CLNia /" vi Q-a-&s 40 CoLy—nayl — ivt �--dry✓' <br />