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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �,� �� t3%!� C i�c' �t f S 'j��, ; -E'r}— <br /> PID: <br /> DESCRIPTION OF WORK G�G,r,W� b ,-�sE �r..r <br /> ZONING REVIEW BY.• �� DATEAPPROVED:�, �� <br /> BUILDING REVIEW BY.• —�� DATEAPPRO►rED: i -2 ti-c�$ <br /> �____________________�________ ________�____�____�_w__�______��-- <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 <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No—� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: N'p G�-►�N�Q _�Y�M~_~_���NY��_ <br /> Fire Department: Post Offce: � School District: <br /> Lot A��ea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> i� <br /> F�•ont(Lake): Right Side: <br /> Rea�•(Street): Left Side: <br /> Adjacent Structures: Wetla d: <br /> Building Height: Def. Hgt. Pea Hgt. <br /> Lot Coverage: <br /> Grading: StaffApprovaT Date: By: Council Appr-oval Date: <br /> Septic: StaffApproval Date: �__ By; ��;� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Disb•ict: MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage.• <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Ha�•dcover Variance Required: 3'es No Date of Council Approval: <br /> REMARKS(in house): <br /> ; <br /> �. <br /> 33 �\ <br />