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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZSy O C�SLO ,Pp��v T �?_c�,�✓.� <br /> PID: <br /> DESCRIPTION OF WORK: C/vTll�4nfC� �/l,`���-� <br /> ZONING RE vIEW BY.• DATEAPPROVED: �v -�-a��~ <br /> BUILDING REVIEW BY.• DATEAPPROVED: �v- 3, �-� <br /> _—___----------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes_� No <br /> PLAN REVIEW �-"_� 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 /> -------------------------_------------ <br /> ZONING CHECK LIST Zoning District: r <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: g=/6 -q fo <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> r <br /> �(Street): 5 Left Side: <br /> I���.. �h Adjacent Structures: Wetland: <br /> V � <br /> - `.iP � Building Height: Def. Hgt. �( Peak Hgt. y� <br /> �� <br /> Lot Coverage: <br /> Grading. Staff Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetback. LotCoverage: <br /> Existing Proposed <br /> Hardcover: D-75' <br /> 75-250' <br /> 250-.i DO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> MARKS(in house): <br /> 33 <br />