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� <br /> � , . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> OR FF C USE Y �/ <br /> ADDRESS OR LEGAL: ���� � ������ �/6' <br /> PID: <br /> DESCRIPTION OF WORK: J 1 �? �� �'fi i:?i ' ' <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY.• r''I ���'�/`�� i �� DATEAPPROVED: ���'i "e '�.,t ��' � <br /> BUILDING REVIEW BY.• DATEAPPROVED: 6 • Zc• 61 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN R�VIEW 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 /> Nzrmber of SAC Units OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Distr•ict: L-�1�G <br /> Fire Depar•tirrent: Post Offrce: School District: <br /> Lot Area: Sq ft. I�(O�l Z Acres � - �� Width ��• � Depth <br /> Si�rvey Saibnzittect: 1'es �( No Date of Si�rvey: L� ` �'J �� l <br /> Pr•oposed Setbacks: , —7 , � <br /> Front(Lake): � / Rrght Side: � �� <br /> Rear(Street): Laff-Side: � U / <br /> Adjacent Str�zrcterres: Wetland: <br /> �ci�i�rv1�� � <br /> Building F/eight: Def. Hgt. � � Peak Hgt. <br /> Lot Coverage:�f I-c <br /> Grading: Staff'Approval Date: Bv: Council Approval Date: <br /> Septic: Staff�Ipprova!Date: (V 1�_ By: � <br /> I ' <br /> Zoizirrg Fi/e: # Resolution: � Resolutio�z Date: <br /> Shoreland District. MCWD Permit: <br /> .=1cg. Setback: !3h ff Setbnc%: Lot Coverage: <br /> Existing Proposed <br /> Hnrdconer: 0-7.i' <br /> 7�-Z.iO' <br /> 250-.i 00' <br /> sno-�000� <br /> I-fardcover l�ariance Requii�ed: }es �Vo� Date of Council.9ppi�oval: <br /> REMARKS(in ltouse): <br /> 33 <br />