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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 35� G�(5��. (3 A� �aa <br /> PID: <br /> DESCRIPTION OF WORK: Q e �-t- S o�p �� <br /> _____�--__-____----__�_w________�______________�_�______�____________________Q�� 7-t�ltN <br /> ZONING REVIEW BY: DATEAPPROVED: <br /> BUILDING REVIEW BY: DATEAPPROT�ED: S- �,u B <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW �es No r/ 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: �/C� <br /> Fire Department: _ Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right S' e: � <br /> Rear(Street): Left S' e: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council App��oval Date: <br /> Septic: StaffApproval Date: By: <br /> Zoning File: # Resolution: Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback. luffSetback: LotCoverage: <br /> isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2.i 0-�DO' <br /> 500-1000' <br /> Hardcover ��ariance Reguired: Yes No Date of Council Appi�oval: <br /> REMARKS(in house): (.4rv/)inJG' 0 U P�_ L X�5 T7NS /�r/�2d Gf v Pi( <br /> 33 <br />