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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zo(00 a,, Lo Ay � Qt ,O „, ,", I S-0 <br /> PID: <br /> DESCRIPTION OF WORK: TE,ANT Pi N tsh4 <br /> ZONING REVIEW BY: N ( ,. DATE APPROVED: <br /> BUILDING REVIEW BY: _--M-_� DATEAPPROVED: b 14-0 5 <br /> FEES TO BE CHARGED: (J Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes L No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No e/ SITE INSPECTION <br /> Number of SAC Units PA,o OTHER (spec) <br /> ZONING CHECK LIST Zoning District: v6 c <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sgft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks': <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff S:tback: Lot Coverage: <br /> Existin: Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Ne Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />