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' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL _ J,� �� � ��� �- ;L Q^ S U�,,< <-- - <br /> PID: - � �- , <br /> DESCRIPTION OF WORK: � � �,q��,y�� <br /> �N <br /> ZONING RETtl"EW BY.• DATEAPPROVED: /v �-Z-�- o y <br /> BUILDINGREi�1'EWBY.• DATEAPPROVED: �a .Z� ,mg <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IT Yes � No <br /> PL�4N REVIEW Y�S � No SEWER CONNECTION <br /> STATE SURCH�4RGE Yes �/ No R�ATER CONNECTION <br /> WVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> 1Jumber of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: _1(/o C y���� <br /> Fire Department: Post Office: <br /> School District.• <br /> Lot Area: Sq.ft. • Acres W'tdth <br /> Depth <br /> Survey Submitted.• 3'es No <br /> Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake); Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent S[ructures: Wetla - <br /> Building Height: Def. Hgt. Peak <br /> %�• <br /> Lot Coverage.� <br /> Grading: Stcrff'ApprovaT Date: By: Council Approvcrl Date: <br /> Septic: StafJApproval Date; / �/�" By. � <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland District: <br /> MCWD Permit: <br /> .4vg. Setback: BluffSetbac ; <br /> Lot Cwerage: <br /> Existing Pro osed <br /> Hardcover: 0-'S' p <br /> 75-250' <br /> 250-500' <br /> �00-1000' <br /> Hardcover Variance Reguired: 3'es No <br /> Date of Council.Approval: <br /> REMARKS(in house): <br /> 33 <br />