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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ;c �(_.,_, �j��� i2� N '� �, <br /> PID: <br /> DESCRIPTIONOFWORK i".L.w..�-�,��Z �,�.�,,����� Y �„nr��_ f �A <br /> � � <br /> ZONING REi�IEW BY.• 1V I�'� DATEAPPROTjED:+� <br /> BUILDING.RET�IEWBY.• �„ , DATEAPPROT�ED: y- � - ��-; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � <br /> PERMIT Yes ;� No <br /> PLAN REVIEW Yes ;/ No SEWER CONNECTIDN <br /> STATE SURCHARGE Yes :/� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> S�1C Yes No SITEINSPECTION <br /> Numbe�•of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning Distr-ict: ,ti�; � ��,,,,��� ~ �� <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sq.ft. Acres j Widih Depth <br /> Survey Submitted: Yes No i Date of Survey: <br /> i <br /> Proposed Setbacks: � <br /> Front(Lake): Right Side: 1 <br /> Rear(Street): Left Side: 1 <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peak Hg <br /> Lot Coverage: <br /> Grading.• StaffApp��ova1 Date: By: Council Approval Date: <br /> Septic: Staf�"Approval Date: '3 V� By. �/ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District.� MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: D-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Required: Yes No I <br /> Date of Council Approval: <br /> REMARKS(in house): <br /> � <br /> 33 � <br /> , <br />