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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 0(0 o W R `(2A TA (? 1 c..1 /AA) /Ts /00--/W <br /> PID: -//g`222.1_421:32X-Pr-___L__- I Ce c' <br /> DESCRIPTION OF WORK: C &wikl u r,c o l%Ft e E= S wit_bp 1 G <br /> ZONING REVIEW BY:: 10A '', DATE APPROVED: //737 0 7 <br /> BUILDING REVIEW BY:: (Q ,- DATE APPROVED: /i.3O . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: A V2___ <br /> PERMIT Yes / No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION N41 <br /> STATE SURCHARGE Yes / No WATER CONNECTION /1,/or <br /> INVESTIGATION FEE Yes , No PARK FEE /ti A <br /> SAC ✓ No SITE INSPECTION <br /> Number of SAC Units (Pee- pvi,et- i,U( OTHER (specify) <br /> ZONING CHECK LIST Zoning District: 11& -- ? (A._ <br /> Fire Department: L i 1_.--. Post Office: L_ a Lk School District: 0 I d <br /> qft. t Z '0 . -( 0. 1111: /' <br /> Lot Area: S . 1 S, AcresWidth �� �/(� Depth 70 <br /> Survey Submitted: Yes ✓ No Date of Survey: 70 ZS'OR <br /> Proposed Setbacks: / i <br /> Front(beds*, 1 O Right Side:9•S '--' <br /> N t 11fiDiu D��=rVU B LDG, 040 . <br /> Rear(Stmt): I N - Left Side: ''5 --3 V 0 K— <br /> Adjacent Structures: !c r 4._ Wetland: ,AJ 4 <br /> Building Height: Def Hgt. Z 9 ± Peak Hgt. 32 + <br /> Lot Coverage: N4 <br /> Grading: Staff Approval Date:PER-}'ii b. /WPM' y: -Age Council Approval Date: Lc'/1(-CD.? <br /> Septic. Staff Approval Date: 6(7" By: L.)6- <br /> Zoning File: #(?7-3 i� Resolution: # 5/3 <br /> Resolution Date: 5---/y' o7 <br /> Shoreland District: NA MCWD Permit: <br /> Avg. Setback: A)4- Bluff Setback: ,'A Lot Coverage: K4 (e v lj� <br /> Existing Proposed ////// <br /> Hardcover: 0-75' • <br /> 75-250' - - <br /> 250-500' A A <br /> 500-1000' _ <br /> Hardcover Variance Required: Yes No C Date of Council Approval: N /c <br /> REMARKS(in house): <br /> 33 <br />