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t <br /> CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `5 j C;�C� �;F,�bvt,�-�,� ��� <br /> PID: <br /> DESCRIPTION OF WORK ��'G'!��?C���� y�k �i,��,�5 <br /> ZONING REVIEW BY.• r N � Y� DATEAPPROVED: ��/y� � <br /> BUILDING REVIEW BY.• 4 ( DATEAPPROVED: /I•2f3.0'7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �M <br /> PERMIT Yes f 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_� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: ~� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> P�•oposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height• Def. Hgt. Peak Hgt. <br /> Loi Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: �v� By:��' <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Setback.• Lot Coverage. <br /> Existing Proposed <br /> Hardcover: 0-7.i' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover i�ariance Regui��ed: Yes_ No Date of Council Appr-oval: <br /> REMARKS(in house): <br /> 33 <br />