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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �j � i j ��� � t,,q � �:�-� R � <br /> PID: <br /> DESCRIPTION OF WORK (_� q�,� � ?--i�W , /'> �,� - , ./��� <br /> �� --------------- - � __L2r.'.� ���11'.�.��a_1�_� _____ <br /> ZONING REVIEW BY.• DATEAPPROVED: /Z O <br /> EUILDING REVIEW BY.• DATEAPPROVED: 3-�i- o g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �~ M��� �_�_ <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ./ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Numbe�•of SAC Units OTHER (specify) <br /> ZOMNG CHECK LIST r Zoning District.~ �W � - � � � � � Y� ����w � <br /> Fire Department: Post Off ce: School District� <br /> Lot A�•ea: Sq fi. Acres 0, 2� Width �T'� Depth �� 4 <br /> Survey Submitted: 3'es 1� No Date of Survey: !�3� D7 /�i(� ���j/�� <br /> Proposed Setbacks: <br /> Front(Lake): �'iight Side: �O�'l2%Q/ <br /> �1,� — � , <br /> Rear(Street): n(� ��(,�Q be�Side: Qj <br /> Adjacent Structures: n�' Wetland: ��' <br /> Building Height• Def. Hgt. Peak Hgt. �'f D W9�"C�.eJ <br /> Lot Coverage: � • / �� <br /> Grading: StaffApproval Date: n�' By: Council Appi�oval Date: <br /> Septic: Staff App�roval Date: l ^V% 1 gy; lr�(r� <br /> Zoning File: # � ' 3��(� Resolution: # Resolution Date: Q � <br /> Shoreland District: _ � MCWD Pe��mit.� <br /> Avg. Setback: r/����q V►C Q� Bluff Setback: __�,r� Lot Coverage: �//�i��yj�� <br /> F.risting Proposed <br /> Hardcover: 0-75' '��L,i{ <br /> 75-250' �� <br /> 250-500' <br /> 500-1000' <br /> Haf�dcover 1�ariance Required: Yes_� No Date of Council Approval: �� <br /> REMARKS(in house): <br /> 33 <br />