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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: �,S `��7 C 6'� �a �'f ���� <br /> PID: <br /> DESCRIPTION OF WORK f�'f' i� � ,'l��C�vr��-c ' <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING RE vIEW BY: �= �" DATEAPPRO[jED: s- � - C�� <br /> BUILDING REVIEW BY.• DATEAPPROVED: S- y- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEYV Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�/ PARK FEE <br /> SAC Yes No �/ SITE INSPECTION <br /> Nirn�ber of SAC Units � OTHER (spec�) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: ' I � <br /> Fire Depar•tment: Posl Offtce: School District: <br /> LotArea: Sq.ft. .4c��es Gi�idth Depth <br /> Survey St�bmitted: 1'es No Date of Sttrvey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear fStree�): �� Left Side: <br /> Adjacent Strircttires: /��j� l�'etland: <br /> Bzulding F/eight: Def. Hgt. J��+ �I�h l� Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: /3y: Council Appr•oval Date: <br /> Septic: Staff Approval Date: By: <br /> Zvning File: # Resolutiorz: # Pesolutia�Date: <br /> Shoreland District: MCWD Permit: <br /> ,=1tig. Selback: 13liffSetback: LotCoverage: <br /> Existing Proposed <br /> flardconer: 0-7�' <br /> 7.5-Z.i 0' <br /> ?sn-sno� <br /> sno-�oon� <br /> Hardcover [%arrance Reqc�ireri: l'es ��'o Date of Coa�ncil:lpproval: <br /> REMARKS(ijr liotise): <br /> 33 <br />