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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 315 wno�/JHi�.` /SVG <br /> PID: <br /> DESCRIPTION OF WORK: G N Al4Ge. 00Li-IS4/L60A_ kiz itz p t c-E <br /> ZONING REVIEW BY:: N I f DATE APPROVED: <br /> BUILDING REVIEW BY: ( DATE APPROVED: j-Z?- Oct <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 (specify) <br /> ZONING CHECK LIST Zoning District: /V 0 G H 4^16....e <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 /> • <br /> Adjacent Structures: Wetland. <br /> Building Height: Def Hgt. Peak gt. <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: Blu etback: Lot Coverage: <br /> • Existin. Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: I'es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33/ <br />