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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,� •';' �+'�� ��S c� P�t �� <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY.• -�' — DATEAPPROVED.��''W�c�� � <br /> BUILDINGREVIEWBY.• DATEAPPROVED: 5 �u• o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By~� M ���� ��_�_ <br /> PERMIT Yes ,� 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 /> ---_---_--------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date 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.• StaffApproval Date: By: Council ApprovatDate: <br /> Septic: StaffApproval Date: � � By. ��- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District• MCWD Permit: <br /> Avg. Setback: Bluff Setback.• Lot Coverage: <br /> Fxisting Proposed <br /> Hardcover: D-7.i' <br /> 75-250' <br /> 2.i 0-.500' <br /> �00-1000' <br /> Hardcover i�ariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): /�1 r�DrIA�P� c,v i r�� DI�1 biN�w NC�.� /l.c,�-S �;zr P�9�v <br /> // <br /> 33 <br />