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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> F R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: < < � <br /> Ci t C�SCU C�� . <br /> PID: . <br /> DESCRIPTION OF WORK.• k�T c w=►>> �2 - <br /> L� Q—i <br /> ZONING REVIEW BY.• N)� DATEAPPROVED: <br /> BUILDINGREi�IEWBY.• DATEAPPROTfED: ti-z�-o g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> I'�N��E�' Yes ✓ No SEWERCONNECTION <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 (spec�) <br /> ZONING CHECg LIST Zoning District: �v�o�e + <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sg;ft. • Acres 'dth <br /> Depth <br /> Survey Submitted.• Yes No te of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: • <br /> Adjacent Structures: Wetland: <br /> Building Height: Def.Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date.• <br /> Septic: StaffApproval Date: �/'T By. �_�—. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District.• MCWD Pe�•mit.• <br /> Avg. Setback: B1uffSetback: <br /> Lot Caverage: <br /> F�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover i�ariance Reguired: Yes No <br /> Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />