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. CHECg OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I( � C:' �1�-��w oc:;I <br /> PID: <br /> DESCRIPTION OF WORK.• /kk.. L�c�s`7 r�c L � <br /> ZONING REVIEW BY.• , n�,1- DATEAPPRO I�ED: � ��/'U� <br /> BUILDING REi�IEW BY.• <br /> � '`"i- ; ` L..�,-- DATEAPPROVED: 9-3- o f3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No N�ATER CONNECTION <br /> INVESTIGATION FEE Yes No�_ p�g FEE -- <br /> S�1C Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER s eci <br /> — (P .fY) <br /> ZONING CHECK LIST Zoning District: t...� - �,�j <br /> Fire Departmerit: Post Office: <br /> School District.• <br /> Lot Area: Sq.ft. • Acres Width <br /> Depth <br /> Survey Submitted.• Yes No <br /> Date of Survey: <br /> Proposed Setbacks: <br /> Fronz(Lake): Right Side: <br /> �xr►c�-- <br /> Rear(Street): Left Side: �����"'� <br /> G?�- eXI S�1 Vt C:� <br /> .4djacenl Structures: Wetland: Q`2L�` - <br /> Building Height.• Def. Hgt. Peak Hg2. <br /> Lot Coverage: <br /> Grading.• Staff,4pproval Date: By: Councilflpproval Date: <br /> Septic: Staf�,4pproval Date: ' ��g By: w� <br /> Zoni�zg File:- # Resolution: #__ Resolution Date: <br /> Shoreland District.• <br /> Avg. Setback: MCWD Permit: <br /> Bluff Setback: Lot Coverage: <br /> Ea isting Pro osed <br /> Hardcover: 0-75' p <br /> 75-250' <br /> 250-500' <br /> SDO-1000' � <br /> Hardcover Variance Required.• 3'es No <br /> Date of Council.4pproval: <br /> IZE11'IARFiS(in house): :�j� us� �,t� � �,� ���i .� �",��, 1 h �� <br /> U�' � .�+� "' .�- W 1�p,v(M 1 1 t,�;� <br /> �' •�i�� S � � �S i <br /> �w� . �d- 'i �cl� CC�.. <br /> �'w►�n � . <br /> 33 <br />