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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: J� �,'� �'/� j,..e f',��` ��— <br /> PID: <br /> DESCRIPTION OF WORK: � •�[,�-,,,,t i t,; C�.a z�(�c3 <br /> ZONING REVIEW BY.Y zW� L-� �r �� DATEAPPROTfED: ��/I����� <br /> BUILDINGREVIEWBY.• DATEAPPROVED: 3 -2� -c�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � � '� ��w__ <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> -----______________________�---------------—�-��—`I_______--------------------------------------- <br /> ZOMNG CHECK LIST Zoning District: " � <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. �4cres_.�� ��3�� Width ��(,.1 f Depih ( /�+, �� <br /> Su�-vey Submitted: Yes� No Date of Survey: � Z lD ��,J <br /> Proposed Setbacks: ( �� <br /> Front� hQ.�11hCl. �c�'S�. }2ight Side: ����j � <br /> Rear �� �� � <br /> � �S h —�jZ. <br /> (�}" (B� -�eft Side: <br /> Adjacent Structures: � �/ � Wetland: �7/�' <br /> � <br /> Building Height: Def. Hgt. �__ Peak Hgt. <br /> Lot Coverage: S• �C�'��(,� <br /> G��ading: StaffApproval Date: /J �� By: Council App�•oval Date: <br /> Septic: StaffApproval Date: d V' A By,• ��" <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: {�`}- BluffSetback: LotCoverage: <br /> F�isting Proposed/E'Ki�h a v <br /> Hardcover: 0-75' •'�(� . �j I �G� 4-- � Z"�/� <br /> 75-250' �Q�_C'�� S� •" °. <br /> �so-soo- /�. G 3 % <br /> soo-�000� <br /> Hardcover i�ariance Reyuired: 3es No_j� Date of Council App�-oval: <br /> REMARKS(in house): <br /> 33 <br />