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, ' CHECIC OFF LIST FOR ISSUANCE OF PERMITS <br /> .F�R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ , � ��y �� (' �� r 4; <br /> PID: <br /> DESCRIPTION OF WORK; F rl�,�,�,�- � .�. ��`` <br /> ZONING REVIEW BY.• DATEAPPROVED: c�•z 3 -og <br /> BUILDING REi�IEW BY.• DATEAPPROVED: �, .z 3 _v� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTIDN <br /> STATE SURCHARGE Yes__1� No WATER CONNECTION <br /> INVESTIGA 1'ION FEE Yes No ✓ PARK FEE <br /> SAC Yes No—�- SITEWSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: si <br /> Fire Department: Post Office: School District.• <br /> Lot Area: Sq.ft. • Acres Width <br /> Depth <br /> Survey Submitted: Yes �( No Date ofSurvey: _ �_/�..p� <br /> Proposed Setbacks: <br /> Front(Lake): _ ���-1 ' Right Side: I (�(� � <br /> Rear(Street): 1�C� � Left Side: �S � - <br /> Adjacent Structures: �-i-�--�H LY1 Wetland: /V�A <br /> Building Height: Def.Hgt. N 1/� Peak Hgt. —" <br /> Lot Coverage: �/ /-�- - <br /> Grading: StaffApproval Date: N / /�. By: Council Approval Date: <br /> Septic: StaffApproval Date: r By: � <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District.• C7 MCWD Permit: <br /> Avg. Setback: � BluffSetback: <br /> Lot Coverage: <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover i�ariance Required: Yes No <br /> Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />