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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL Y <br /> ADDRESS OR LEGAL: `. � �-� � � <br /> PID: ��� •v . <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY.• �� � � � Y� DATEAPPROVED: 2 ZG Qpj <br /> BUILDING RET�IEW BY.• DATEAPPROVED: 2 - S- o q3 <br /> FEES TO BE CHARGED: M � Misc. Fees Calculated By: � ���� ~ �~� <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes_/� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No_� SITEINSPECTION <br /> Numbe��of SAC Units OTHER (spec�) <br /> ----------------------__�______�____ <br /> �----�------------------__ ----- <br /> ZONING CHECK LIST Zoning District: � <br /> Fire Department: Post Off ce: School District: <br /> (� � �•+ ,(�, i <br /> Lot Ai�ea: Sq.ft. Acres , T Width �� Depth ( �U <br /> Su��vey Submitted: Yes�� No Date of Survey: � (( O <br /> Proposed Setbacks: � � � � , <br /> F�ront(�CIw) �. �Side: � �� � ` <br /> � , � � b <br /> Rear(�ee� � �eft-Side: ��i�} � '�- I. �►� <br /> / <br /> Adjaceni Structures: �� Wetland: �/'} �'�, �y <br /> ' � � � ��+y,, i <br /> Building Height: Def. Hgt. � Peak Hgt. _3�`G✓ ' �; Z <br /> / <br /> � �G11(!`� <br /> - �� ;..v✓�-r <br /> Lot Coverage: _�� w+N��u✓ <br /> Q rv <br /> Grading: Staff App�•oval Date: _ � ��/ By:`�� Council Approval Date: j��='`r K-� <br /> � Septic: StaffApproval Dale: �, ��� gy, ��i a <br /> Zoning File: # {�/'� Resolution: # Resolution Date: <br /> Shoreland District.� `�� MCYiD Pe�mit: <br /> Avg. Setback: BluffSetback.• LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-2.i0' <br /> 250-500' <br /> �00-1000' <br /> Hardcover Variance Reguired: 3'es No Date of Council Approval: <br /> REMARKS(in house): <br /> '1�, C3�-��I�:, 2/� ' <br /> 33 <br />