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, } <br /> CHEC.g OFF LIS7'FOR ISSUANCE OF PERMITS <br /> FO FICE US ONL <br /> ADDRESS OR LEGAL: � �� <br /> Pm: �I <br /> DESCRIPTION OF K'ORK: Cyv-�� ,,�,,�v n^�S <br /> ZONING REijIEW BY.• !'�' ��C� DATEAPPROVED: <br /> BUILDING I2Ei�IEW BY.• DATEAPPROTfED: <br /> �-iz -�g <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 NTATER CONNECTION <br /> INirESTIGATlON FEE Yes No c�' PARK FEE -- <br /> SAC Yes No �� SITEWSPECTION <br /> Number of SAC Units OTHER s eci <br /> - (P .fY) <br /> ZONING CHECK LIST Zoning District: �/� y~ <br /> Fire Department: Post Offce: <br /> School District: <br /> Lot Area: Sq.fT. ���"C:'�Y Acres �y�� Gl�idth .-�L� C � <br /> ) Depth <br /> Survey Submitted: yeS �j No � /� G �� <br /> Date of Survey: ;j� <br /> Propose �; /-�� <br /> Fron (Lake): �U Right Side: � ��j� <br /> G��t`��-�-- <br /> Rear(Street): Le,ft Side: <br /> Adjacent Structures: Wetland: <br /> �����`�I��Iight.• De.f H � �j � "�' �jLC� � / / � ��JY �� <br /> gT• Peak Hgt. G�/� �� � `j���,�' <br /> Lot Cover¢ge: �V� � �L��` � � � <br /> �� <br /> Grading: Slaf.J',4pp�•oval Date: By: Counci/Approval Date: �/� <br /> Septic: Sta,f�j'Approval Date: � � �' ��By. � <br /> Zoning Filer # Resolution: # Resolution Date: <br /> Shoreland District.• ��' ��k <br /> MCWD Permit: <br /> tivg. Setback: �,j/� BluffSetback: <br /> .�� Lot Cwerage: _ �,;`_�____ <br /> Existing Pro osed <br /> Hardcover: 0-75' p <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Reguired: Yes No� <br /> Date of Council.4pproval: <br /> RE1I�LARKS(in house): <br /> 33 <br />