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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �t�,5 C(�vv��,�,c�c,,/� �q JL <br /> PID: <br /> DESCRIPTION OF WORK: �c�-r-c�l��.,., t'?–�1,,,�A,�e` <br /> ZONING REVIEW BY.• DATEAPPROVED: (D•z�{-o$ W <br /> BUILDING RE[�IEW BY.• DATEAPPROi�E'D: �-z�i- u� <br /> ------___—_____-------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calczrlated B}�: <br /> PERMIT Yes � No <br /> PLA1V REVIEW �es ✓ No SEWER CONNECTION <br /> STATE SURCHARGE �es � No WATER CONT%ECTION <br /> INVESTIGATION FEE �es No_s� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Nzrmber of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �o C�,� �,�,GP� �� -'_____________�__ <br /> Fir•e Department: Post Office: School District: <br /> Lot Area: Sq ft. Acres Y�'idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fr-ont(Lake): Right Sid : <br /> Rear(Street): Left Sid : <br /> Adjacent Structures: Yi�'etland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By�: Council Approval Date: <br /> Septic: StaffApproval Date: $��; <br /> Zoning File: # Resolution: # Resolution Date <br /> Shoreland District: MCY!'D Permit: <br /> Avg. Setback: BlzffSe back: LotCoverage: <br /> Faisting Proposed <br /> Hardcover: 0-'�' <br /> '�-_'�0' <br /> 2J O-.i 00' <br /> �00-1000' <br /> Hardcover f"ariance Required: }es No Date of Cozuzcil.9pproval: <br /> REMARKS(in house): <br /> 1 <br /> 33 <br /> ,.n� � .i��IP:1 � <br />