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. , v. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ ��j� �����{� �j � <br /> PID: <br /> DESCRIPTION OF WORK: � ` �( � x � /.�r��jrLl�i £- Y�A /�f�t d <br /> ZONING REVIEW BY.• wr~ DATEAPPROVED:� -�� � <br /> BUILDING REVIEW BY.� DATEAPPROf�ED: G '23 -c�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• � ���" ~� <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �/ No SEu�ER CONNECTION <br /> STATE SURCHARGE Yes ,/ No YT�ATER CONNECTION <br /> INVESTIGATION FEE Yes_ No ✓" PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (spec��) <br /> —�,;�+-%r�__________________________________,_____�__ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. '�.�� Acres Width <br /> Depth <br /> Su�vey Submitted: Yes No Date of Survey: _Q� (.e <br /> Proposed Setbacks: /��51 <br /> Front(Lake): �4ight Side: ��/� <br /> Rear(Street): �YJU� �y� �Side: m(�„ �+/.�yj�(� P <br /> _Sv <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. �/tr Peak Hgt. <br /> Lol Coverage: ��/� <br /> Grading: Staff Approval Date: /?� By: Council Approval Date: <br /> Septic: StaffApproval Date: By. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: V (�' (J//-�'��`� MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> F�isting Proposed <br /> Hardcover: D-75' �� ������� <br /> 75-250' (1,�(C S <br /> 2.i D-.i 00' Fi C� f�� <br /> 500-1000' lyttivr /�e.vi.q-� <br /> ��e�-,-s �r h e. <br /> Hardcover t�"ariance Reguired: Yes No Date of Council Approval: ��SS ��,,�Z S�G <br /> REMARKS(in house): /n 7S`-L S�C1 <br /> 33 <br />