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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 71-7 J i c 1'(v r S T -Fr la,- <br /> PID: <br /> DESCRIPTION OF WORK: i Z..L. aZ- 6A-Tv �.)1D „s /so "a.o o t,a 3 <br /> ZONING REVIEW BY:: N l oft- DATE APPROVED: <br /> BUILDING REVIEW BY: D _ DATE APPROVED: 3 2—�,g <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 (spec) <br /> ZONING CHECK LIST Zoning District: N <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 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: Well,nd: <br /> Building Height: Def Hgt. Peak •gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: NA- By:I A Ic-- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Set.•ck: 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): <br /> 33 <br />