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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> .� O OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��� �, - ��S � �� " �, <br /> PID: �_�-�%/�� � � � / Ol`��C� �4••r �'- i��. l S'�f',;t�y��--j s���'��� ���,. <br /> DESCRIPTIONOF WORK /l;'c���= �, ;,�,�.;�,���_ ; <br /> ZONING REVIEW BY.• � �� ' �� � DATEAPPROVED: L Z� c� � <br /> BUILDING,REi�IEW BY.• �_ DATEAPPROT�ED: z •z r� -U� . <br /> FEES TO BE CHARGED: / � Misc. Fees Calculated By: �✓�;�~�+ <br /> PERMIT Yes •✓ No <br /> PLAN REVIEW Yes� No SEWER CONNECTION�_ <br /> STATE SURCHARGE Yes ,,/ No WATER CONNECTION X <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> sAc X <br /> Yes� No SITEINSPECTION <br /> Number of SAC Units __�_____ OTHER (spec�) <br /> ZOMNG CHEC%LIST Zoning Distr�ict: c_ "l,�( � ~��� ~ <br /> Fire Department: � L � Post O ice: <br /> .ff L � L- School District: ['�f�,�: 'L.! (i <br /> Lot Area: Sq ft._ 3�S�%�� Acres (,i Q ���%�1 Width �� �� � <br /> Depth <br /> Survey Submitted: Yes v/ No Date of Survey: '� ZL-� D <br /> ��=E�V%>ic�� G�- <br /> Proposed Setbacks: � %-z � �'�'% ��v�a�c'�'/ <br /> 1 <br /> Front(�cik�: � Right Side: � � L <br /> � <br /> Rear(Siz�et): L Left Side: �/� C��� <br /> � 1-o N�y�T /i'_��; <br /> � Adjacent Structures: e�`�`�(�'�'� 15��Wetland: Z��' � �q�./�(�Q��.Ur , <br /> �i'��--s�c�����I�'���?S <br /> Building Height: Def. Hgt. G-L- �C>� 0 j� Peak Hgt. �L 3�' � �,/,��„ � �1 <br /> �-- ' .i�2S J <br /> Lot Cove�•age: � <br /> Grading: StaffApproval Date: P/��� <br /> BY`���� Council A r �-- <br /> pp oval Date: <br /> Septic: StaffApprova7Date: By. � <br /> Zoning File: #��,-��'� � Resolution: # �j � Resolution Date: ��? �' -��_� <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: _ `/" BluffSetback. _�- LotCwerage: .�� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Reguired.• Yes No_� Date of Council Approval.• � <br /> REMARKS(in house): �,/�r�C'(��YL %S ��r� '�Gf(LI���U (' �L �1-%U �C��� %J%C��U <br /> i7 t'����`4� � � 7 C��� <br /> 33 <br />