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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: W <br /> � PID: � . — � �� ��� g�'� ;A +ef" 't��.� <br /> DESCRIPTION OF WORK.`~ <br /> ZONING REVIEW BY.• �� DATEAPPROT�E'D: •-�-Q � <br /> BUILDING IZEVIEW BY.• DATEAPPROTlED: <br /> f� -SP-o �, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN RE I�IEW Y�S�— No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION �-- <br /> INVESTIGATION FEE Yes No PARK FEE ,-_.. <br /> SAC Yes t/ No SITEINSPECTION `—+ <br /> Number of SAC Units � OTHER (spec�)_ � <br /> ZONING CHECK LIST Zoning District: �' iu�.� <br /> Fire Department: �`' Post Off ce: ��-� School District.• d"�.4�l3Ly <br /> Pr' ��J ' <br /> Lot Area: Sq.ft. �,�t� Acres � Width �3 Depth ��� �-y <br /> , <br /> Survey Submitted: Yes � No Date of Survey: S�Z p�; <br /> � <br /> Proposed Setbacks: g <br /> Front(�'. p Right Side: , <br /> Rear � � � <br /> ���� + � Left Side: � - <br /> Adjacent Structures: ��' Wetland: f�-��Qa�� �� . � �5�1 <br /> � <br /> Building Height: Def.Hgt. �( Peak Hgt, `.?���,- ` <br /> Lot Coverage: �q <br /> Grading: StaffApproval Date: �`�`� B�'�h�� Council Approval Date: ,� <br /> Septic: StaffApproval Date: By. �JG- <br /> Zoning File: # ,._.._ Resolution: # �-- Resolution Date.� ' <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: ' � BluffSetback.• _ •x LotCoverage: <br /> Existing Proposed , <br /> Hardcover.� 0-75' � <br /> 75-250' <br /> 250-500' <br /> 500-1000' � ` <br /> Haf�dcover i�ariance Reguired.� Yes No x Date of Council Approval.• <br /> T <br /> REMARKS(in house): <br /> 33 <br />