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CHECK OFF LIST FOR ISSUA CE OF PERMITS <br /> FOR OFFICE�E NL Y <br /> ADDRESS OR LEGAL: � �� � ��� ��J <br /> PID: <br /> DESCRIPTION OF WORK: �- � <br /> ---��___________��_ 1�'GLL �a Si _ o e_____________________�____ ___ <br /> ZONING REVIEW BY.• DATEAPPRO itED: � -�' � <br /> BUILDING REVIEW BY.• DATEAPPROVED: i� Z°t - 07 <br /> FEES TO BE CHARGED: Misc. Fees alculated By: ��� <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes�� No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No uATER CONNECTION <br /> INVESTIGATION FEE Yes No_�� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify� <br /> �_��__�--------�___�_________� �________�M________�_ ------- <br /> ZONING CHECK LIST Zoning District.� " �� <br /> Fire Department: Post Off ce: School District: <br /> Lot A�•ea: Sq.ft. Acres,3��Z.f,�J Width Depth <br /> Survey Submitted: f'es ✓ . � 1Vo Dat of Survey: <br /> �YriYh �i�L <br /> Proposed Setbacks: f �- <br /> Front (Lake): � �Rig�it Side: �� <br /> ��'S` t <br /> Rear(Street): l�� �ft Side: � <br /> Adjacent Structures: �V �� / Wetland: <br /> Building Height: Def. Hgt. {�/� Peak Hgt. <br /> Lot Coverage: /7� <br /> Grading: Staff Approval Date: N �� By: Council Approval Date: <br /> Septic: StaffApproval Date: By: <br /> Zoning File: # Resolution: # Res ution Date: <br /> Shoreland District: ✓ �L1C D Permit: <br /> Avg. Setback: BluffSetback: LolCoverage: <br /> Eristing Proposed <br /> Hardcover: 0-7.i' <br /> 7.i-�.i 0' <br /> Z.i 0-�00' <br /> �00-I 000' <br /> Hardcover 6'ariance Regtrired: }es No Date of Council Approval: <br /> REMARb'S(in house): �1SLC� Gyl ��G''�G� CI` �/ C�.� <br /> , �.�� � G1 � C / � r� % <br /> 33 <br />