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, • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . ADDRESS OR LEGAL: ` �,L} � �-/' �� �� �. �� <br /> PID: <br /> DESCRIPTION OF WORX.• ,i{�J ��r;-��t C �c�c, <br /> ZONING REVIEW BY.• 1 �(.yrt��!/ DATEAPPROT�ED: G O �/ <br /> BUILDINGREi�IEWBY.• DATEAPPROifED: q_'�-ag <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> P���E� Y�S-� No SER�ER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> WVESTIGATION FEE Yes No J' PARK FEE <br /> S14C Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District. _��-/_ <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. • Acres Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey:�"� � � U 7 r�ti z//3�Q'f <br /> Proposed Setbacks: ��`;(���� ��''''�'`'" - S��°'`e'`1) <br /> jx�h r.�t' /�c�l� , <br /> Front(Lake): ��,5'z- •�ight Side: �G <br /> ,� � y� <br /> Rear(.0 ren): L �� �-Side: �� <br /> i � <br /> Adjacent Structures: � Wetland: � <br /> Building Height: Def. Hgt. �� Peak H <br /> St• <br /> Lot Coverage: /i� <br /> Grading: Staff Approval Date: By; Council Approval Date: <br /> Septic: StaffApproval Date; ��,� � �� By. �— <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /,'d�- ShLj�fLr� MCWD Pe�•mit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover I�ariance Required.• Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />