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� � CHECB OFF LIST FOR ISSL'ANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `;.�"� � �� (( �A d� � 2 .� � <br /> PID: w1nlMik <br /> DESCRIPTION OF WORK: _�oc <br /> ZONING REVI"EW BY.• DATEAPPROVED: ,(�'0 <br /> B UILDING REi�IEW BY.• <br /> DATEAPPROT�ED: G , "�� •v c� <br /> FEES TO BE CIi4RGED: lvlisc. Fees Calculated By: <br /> PER1i�lIT Yes ✓ No <br /> PLf1N REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHI4RGE Yes �/' No T�TTATER CONNECTION <br /> WVESTIGATION FEE Yes No � PARK FEE -- <br /> SAC Yes No �/" SITEWSPECTION <br /> IJumber of SAC Units <br /> _ OTHER (spec�) <br /> ZONING CHECK LIST Zoning Dzstrict: — � <br /> Fire Departmer�t.• Post Office: <br /> School District: <br /> LotArea.� Sq.ft. • ,4cres z d(p Wl�h ZZ'L � De th � <br /> ✓ P ZSf� <br /> Survey Submitted: yeS No / �}/e <br /> Date of Survey. b a <br /> Proposed Setbacks: �,h1Y� � <br /> Fronl(�,akejl.• ��a d� <br /> �Fegflt Side: � <br /> Rear(a�irer•h1.• �� /�4 . <br /> Lefi►Side: V M1 . <br /> 74 � ' <br /> Adj¢cent Structures: YY'etland: �SS - <br /> Building Height.� Def. Hgt. �� Peak Hgt. Y1„/� <br /> Lot Coverage.• �/:�. <br /> Grading: Sta�"Approval Date: By: Council Approval Date: <br /> Septic: StafJ�ipproval Date: � �i ���� By, ] /��-- <br /> �--- <br /> Zoning File: # Resolution: # <br /> ___ Resolution Date: <br /> Shoreland District.• �(/IyC��p� � <br /> ,4vg. Setback: n� MCT�i'D Permit: <br /> BluffSetback: Lat Caverage: <br /> Hardcover: ^� �� Proposed <br /> -�73a' <br /> �5'�tI' <br /> �00-1000' !��_S� �� , -�-� ` <br /> _L�t__�O-�O <br /> Hardcover Variance Reguired.� 3es No <br /> �� Date of Council Approval: <br /> RE111ARKS(in house): Id �(�. L�Q�,�,ti �-a aS�CI oe� E �t,.�.�p,�,� <br /> � S cu� u c, CI ct¢.S <br /> � �...+��I <br /> rtr4 <br /> 33 <br />