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. CHECg OFFLIST FOR ISSUANCE OFPERMITS <br /> _..,�FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `�. �..� %L� c`� .��� ...! t ��-� .��F' �j; �„L;c"ti ) <br /> PID: <br /> DESCRIPTION OF WORK.• ��uc t}ND !�L t3 ���„�� n�� � � <br /> ,_ <br /> ZONING REVIEW BY.• N/A DATEAPPROVED: <br /> BUILDING RET�IEW BY.• DATEAPPROVED: /z• S• v� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PERMIT Yes � No <br /> P�N��E� Y�S N� �' SEWER CONNECTION <br /> STATE SURCHARGE Yes_L/ No N�ATER CONNECTION <br /> IIJVESTIGATION FEE Yes No PARK FEE <br /> S�1 C Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONINGCHECKLIST ZoningDistrict.• �(�j C/.f-�/�� <br /> Fire Department: Post O ce: �, <br /> � School District.• <br /> Lot Area: Sq.ft. • Acres idih <br /> Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Le,ft Side: <br /> Adjacent Structures: Wet nd: <br /> Building Height.� Def. Hgt. Peak <br /> �• <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staff,4pproval Date: �� By. ;��`� <br /> Zoning File:- # Resolution: # Resolution Date: <br /> Shoreland District: MCGirD Permit: <br /> Avg. Setback.• BZuffSetback: <br /> Lot Coverage: <br /> Existing Proposed <br /> Hardcover: p_?j� <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover i�ariance Required.• I'es No <br /> Date of Council.9pproval: <br /> REMARKS fin house): <br /> 33 <br />