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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ON Y. � <br /> ADDRESS OR LEGAL: �.>J�S ��'L��G�CL fY� f�� ��C� <br /> PID: <br /> DESCRIPTION OF WORK: � � � ' � <br /> ZONING REVIEW BY.• Nr� � DATEAPPROT�ED:' �+�� <br /> BUILDING REi�IEW BY: � DATEAPPROT�ED: zr• i 3-o� <br /> FEES TO BE CHARGED: � Misc. Fees Calculated By: � ����� �Y � <br /> PERMIT yeS �;o <br /> PLAN REVIEW �es� No SEWER CONNECTION <br /> S T A T E S U R C HARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE �'es_ No_� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> NNumbe�Nof SAC Units {�eip r,L �,R,,a►� � OTHER (spec��) <br /> —��� <br /> ZONING CHECK LISTW Zoning Distr�ict: ^�%�j ~ �� ��� � ��____~_ <br /> Fire Department: Post Off ce: School District: <br /> � / <br /> Lot Ai�ea: Sq.ft. ��O Q7� Acres Z- 5 5 Midth !���i� — <br /> Depth <br /> Survev Submitted: 3'es � No Date of Su�vey: ��C � C <br /> P,�opos �tr�ks: � , --- <br /> Front Lake): � � R�at Side: ��� �� (r, <br /> // � t� <br /> '- 6U` �ll� ?i �fn <br /> Rear Street): T Le�t Side: � <br /> Adjacent Structures: Wetland: �� <br /> I ��` .�`,�'��� <br /> Building Height: Def. Hgt. (/"� Peak Hgt. � l ���� � <br /> ,/� � �� <br /> Lot Coveragc: /� � � <br /> 2 � /,�i'��'1 �j,n.[�� <br /> Grading: StaffApproval Date: Z I >���) By:� Coui�"cil Approval Date: <br /> Septic: StaffApproval Date: �- � 3��� B�,' J . (� <br />� b��� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District �,'r�- <br /> MCWD Pei�mit: <br /> Avg. Setback.• B1uffSetbach: LotCoverage: <br /> Ezisting Proposed <br /> Hardcover: 0-7�' <br /> 75-2�0' <br /> ?50-.i 00' <br /> 500-1000' <br /> Hardcovei• G'ariance Reguired: 3 es No /v Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />