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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Ae f. O �r N <br /> PID: <br /> DESCRIPTION OF WORK: ('C��?y v•' ��C lCyrt /day <br /> ZONING REVIEW BY.• DA TE A PPR 0 VED: <br /> BUILDINGREVIE WBY.• DATEAPPROVED: ti - Z _ wa <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 CHECK LIST Zoning District: — l /S <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sg ft. Acres , q Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> G✓Qs� <br /> F+-ow-(Lake): /? .q Mgit Side: t7,1-1 <br /> �sr � <br /> Rearreeo: 6117 heft Side: <br /> Adjacent Structures: i i�/-} Wetland: <br /> Building Height: Def. Hgt. 12A Peak Hgt. <br /> Lot Coverage: /2/1' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: -3- ;2(, ._OF By.�_j 6_ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 10/4 MCWD Permit: <br /> Avg. Setback: Bluff Setback: 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 /> REM R)U(in house): cC' lc d(,tom C hI c k ctJ4— <br /> 33 <br />