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, . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: � g 1 � ��� �,��� L�,��� <br /> PID: <br /> DESCRIPTION OF WORK: �h Gv �,�v! o� ���fro� <br /> ZONING REVIEW BY.• y�P�� ~ r� DATEAPPROVED: h•Zv � <br /> BUILDINGREVIEN'BY.• DATEAPPROVED: l -Z�(-�� <br /> �_____�__ -----�L------__________�__ ____�_ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: M���� y ~~�_ <br /> PERMIT Yes �i� No <br /> PLAN REVIEW Yes �� No SEWER CONNECTION <br /> STATE SURCHARGE Yes_�/ No u'ATER CONNECTION <br /> INVESTIGATION FEE Yes No� - PARK FEE <br /> SAC Yes No � ' SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> --------_____�__________�____--------- <br /> ZONING CHECKLIST ZoningDistrict: NV CI-f-�vG-P ~ W�� M <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sg ft. Acr•es Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height• Def. Hgt. P k Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council App�•oval Date: <br /> Septic: StaffApp�-oval Date: 1�' ���(� By. (.-�� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District� MCWD Permit: <br /> Avg. Setback: BluffSetbac : LotCoverage.• <br /> EYisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> �00-1000' <br /> Hardcover i�ariance Required: 3'es No Date of Council Approval: <br /> REMARKS(in house): <br /> ; <br /> 33 <br />