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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZLq S C.,�,��,�, �2 yv <br /> PID: � <br /> DESCRIPTIOIV OF WORK: Qf}T73 /j,�o,i,� /J�—�,W�Q� f L�.,,�o6c,✓ <br /> ZONINGRET�IEWBY.• nJ�.,4 � DATEAPPROitED:N_Y���__ <br /> BUILDIIVG RET�IEW BY.• DATEAPPROVED: ro•�- o�g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � � � ' � ��____ <br /> PERMI7' I'es ,/� No <br /> PLAN REVIEW Yes_�/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes_sC No WATER CONNECTION <br /> IIVVESTIGATION FEE Y es No_� PARK FEE <br /> SAC �es No_�� SITE INSPECTION <br /> Nzcmber of SAC Units OTHER (specify) <br /> ---__----------------------------------- <br /> ZONING CHECK LIST Zoning District: �t/U G ec�_�t/G� <br /> Fire Department: _ Post Office: School District: <br /> Lot A�•ea: Sq ft. Acres YG'idth Depth <br /> Survey Submitted: Yes 1Vo 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 H . <br /> Lot Coverage: <br /> Grading. StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffAppi-oval Date: gy: <br /> Zof7ing File: # Resolution: � Resol ion Date: <br /> Shoreland District: MCY�D ermit: <br /> Avg. Setback: BIL ff Setback: Lot Cove�-age: <br /> Ezisting Proposed <br /> Hardcover: 0-i.i' <br /> 75-2�0' <br /> '.i 0-.i DO' <br /> .i 00-1000' <br /> Hardcovei� Fariance Required: }es No ate ofCozn�cil:9pproval: <br /> REMARKS(in house): <br /> 33 � <br />