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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (-4-7 D u A a 313! v1 (A) <br /> PID: <br /> DESCRIPTION OF WORK: /6) k 20' c d <br /> ZONING REVIEW BY: DATE APPROVED: c///Q g) <br /> BUILDING REVIEW BY: DATE APPROVED: S-(_ o 1b <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 SITE INSPECTION <br /> Number of SAC Units OTHER (sped) <br /> ZONING CHECK LIST Zoning District: 7g-/ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres 17(.' Width Depth <br /> Survey Submitted. Yes No Date of Survey: 3/Z•z/L000 rQ 5/n/00 <br /> Proposed Setbacks: be h l n ct <br /> Front(Lake): {1 w;tL <br /> Right Side: '�0 <br /> • <br /> Rear(Street): 0p Left Side: n a <br /> Adjacent Structures: I '0' Wetland: 70 ' <br /> ha <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: nrk <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: f-1 '"?7•" D By: 1-,j e <br /> Zoning File: # Resolution:# Resolution Date: <br /> Shoreland District: 11 a 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 /> REMARKS(in house): ;//LZ G /hhs Cc'. it /CC.4j C'i of fzt( <br /> 44d moi•o_ /S e-nct)qh _5",4762.- r 516PTp <br /> 33 <br /> 17,1 55✓i 4.v/b 5/f --Y(„c1 clti"c1 P4"/ <br />