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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> F� OFFICE USE OI�,Y <br /> ADDRESS OR LEGAL: �—`� �;� C- � �f s t-�- t �7���� <br /> PID: <br /> DESCRIPTION OF WORK: , �r�yi c�__�, ; �- f> >_l� ��. <br /> ZONING REitIEW BY.• DATEAPPROTjED: �"� � Ci " <br /> BUILDING RE[�IEW BY.• DATEAPPROVED: (o .ZS _ o � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1l�IT Yes ✓ No <br /> PLA.N REVIEW Y�S--./ No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATER CONNECTION <br /> I1�jVESTIGATION FEE Yes No� PARK FEE <br /> S14C Yes No� SITEINSPECTION <br /> Numbef•of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �_� L <br /> Fire Department: Post Office: <br /> School Distsict: <br /> Lot Area: Sq.ft. • L� Acres Widih <br /> Depth <br /> Survey Submitted.• Yes�_ ' No Date of Survey: ��Q�� Jf <br /> l6lG� <br /> Proposed Setbacks: ��j�n� �. �l��Gf% <br /> Front(�-ekej- `JGvS� <br /> f�ig�;i Side: ,S� <br /> � Rear(�&treetr � ' _ u�Sf / � <br /> �Side: ( � <br /> Adjacent Structures: C.., 5 � N�etland: �]/-� <br /> Building Height.• Def. Hgt. Peak Hgt. <br /> /_��S-����� � <br /> Lot Coverage.• z SOU �lG�� <br /> Gradin Sta A roval Date: 1l b � d'Z�rw'dSc�' <br /> g � pp ��� � By: hc^esfiro Counctl Approval Date: <br /> Septic: Staff.4pproval Date: By�� <br /> Zoriing File: # 35�� Resolution: # Resolution Date: ,3 L`� ZG�� <br /> � S�-b�ae.l�s �d ln�rd c�,¢-v <br /> Shoreland District.• <br /> MCWD Permit: <br /> .4vg. Setback: _� BluffSetback: - <br /> Lot Coverage.� <br /> Hardcover: p_�S� �t�t� Proposed �3�- � �/��G ������ <br /> 75-250' �— <br /> 250-500' <br /> 500-1 D00' 2 S' � �� _��. C � <br /> Hardcover 1�'ariance Required: 1'es �No Date of Council_4pproval: Z�f Z pp� <br /> REMARIiS(in house): <br /> ---------- <br /> 33 <br />