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.. . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ I,�'�.S ��C'^.C"l-t � rP� � �(: <br /> PID: <br /> DESCRIPTION OF WORK: _ fzcrYw�.-z (�,,..,,�/; �:v�L, ,�L _ �,r�--��� <br /> ZONING REVIEW BY.• f� DATEAPPROVED: � <br /> B UILDING REVIEW BY.• DATE.APPROT�ED: i�•LS-O� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• �� <br /> PERMIT Yes_� No <br /> PLAN REVIEW Yes_� No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No N�ATER CONNECTION <br /> INVESTIGATION FEE Yes No_�� PARK FEE <br /> SAC I es No_� SITEINSPECTION <br /> Number of SAC Units OTHER (s pec�) <br /> ZONING CHECK LIST Zoning District: /�/O G/ti3.n/ � <br /> Fire De artment: v <br /> P Post Off ce: School District: <br /> Lot Area: Sq ft. Acres 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: Wetla d: � <br /> Building Height: Def.Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: B}�' � Council Appi•oval Date: <br /> Septic: StaffApproval Date: I D"�"l'(J�3 By: (.��j^ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit <br /> Avg. Setback: BluffSetback. LotCoverage.� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-�00' <br /> 500-1000' <br /> Hardcover Y'ariance Required: 3'es No Date of Council App��oval: <br /> RElYLARKS(in house): <br /> 33 <br />