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CHECg OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFIC USE ONLY <br /> • ADDRESS OR LEGAL: � ���1 {-� �y� ���, � ( <br /> PID: <br /> DESCRIPTIONOF WORK.• ��Gy�,;.;� �y^�,�,,�„�,� � <br /> �' >� 6� �/��r�>rc� C• <br /> ZONINGREVIEWBY.• ��/Z /C�+ DATEAPPROVED: � ' <br /> SUILDINGREi�IEWBY.• _ N//� DATEAPPROTjED: <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 u�ATER CONNECTION <br /> WTrESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Numbe��of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: �� - � <br /> Fire Departmertt.� Post Office: <br /> School District: <br /> Lot Area; Sq.ft. • Acres Width <br /> Depth <br /> Survey Submitted: Yes No Date of Survey. <br /> Proposed Setbacks: r� <br /> Front(Lake): Right Side: � � !i1''') <br /> Rear Street: i'��'y�� p�Z'U'�'% <br /> ( ) Left Side: - �' ` � h �� ^-^� <br /> , (' ��Y�Y � /�u.�'� <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hg1. <br /> Lot Covercrge: <br /> Grading: StaffApproval Dale: By: Council Approval Date: <br /> � Septic: StaffApproval Date: ���'� By. � ��,� <br /> �« <br /> ZoningFile: #' Resolution: # ResolutionDate: <br /> Shoreland District.� MCWD Permit: <br /> Avg. Setback: BZuffSetback <br /> Lot Cwerage: <br /> Faisting Proposed <br /> Hardcover: p_7j� <br /> 75-250' <br /> 2.i 0-500' <br /> .i 00-1000' <br /> Hardcover Variance Required.• Yes No <br /> Date of Council.Approval.• <br /> REMARFiS(in house): -'v�t^e�f �o S '/'�l�c.k c/� c�t ��-r-r l2'.Yit Gv <br /> !'YIL%/'L�G'L`E1 E' �j��F- l�t�iF- ll <br /> �� Gti-t� •C -t. ('_ " <br /> � Z .�� G "� /cC:S <br /> 33 <br />