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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 'yY�S �v 2�=3� �4�Gc; Lq,�,�i,�,G <br /> PID: <br /> DESCRIPTION OF WORK: rjZ'�Gc o fl.�-�v�„e —�o y.,c_ �„�,,,, �,,,,,a„a s �t ✓�ooa <br /> ZONING REVIEW BY.• NI A y� �DATEAPPROVED:w�� �� <br /> BUILDING REVIEW BY.• ��,,,{o ( DATEAPPRO[�ED: G-Z r �0-7 <br /> ----------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ./ No <br /> PLAN REVIEW �'�— 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 /> --�---�--------�-�----�-----�- <br /> ZONING CHECK LIST Zoning District: � C NAN(�P <br /> Fire Department: Post O�ce: � School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacics.� <br /> F�ront (Lake): Rig Side: <br /> Rear(Street): Left ide: <br /> Adjacent Structures: etland: <br /> Building Height: Def Hgt. P ak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Distr-ict: MCWD Permit: <br /> Avg. Setback: Bluff Set ack: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: D-75' <br /> �s-zsm <br /> zso-soo� <br /> 500-1000' <br /> Hardcover Variance Required: 3'es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />