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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> (�� ��' � � <br /> OR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: �..J' �.�j•-#- <br /> DESCRIPTION OF WORK: k T te.-ev tAry lavn,ane <br /> ZONING REVIEW BY: N l ioN DATE APPROVED: <br /> BUILDING REVIEW BY: ,4--U ( ,,._ DATE APPROVED: 'f-Z0-o9 <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: NO CH Aaveae <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sgft. • Acres idth <br /> Depth <br /> Survey Submitted: Yes No 1 ate of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> • <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wet nd: <br /> Building Height: Def.Hgt. Peak <br /> gt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: A By: Council Approval Date: <br /> Septic: Staff Approval Date: / -/ By: __(.....)(r. <br /> _ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District. MCWD Permit: <br /> Avg. Setback: Bluff Setback <br /> Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' p <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No <br /> Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />