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CHEC%OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 270(� 1Ct:ta.,y P�zK�,.�,�Y <br /> PID: <br /> DESCRIPTION OF WORK �4�/� vL�+o /�i,o,..� � Q�,e�, 5 ,�.,t�6� <br /> ZONING REVIEW BY.• DATEAPPROVED:�� <br /> BUILDING REYIEW BY.• DATEAPPROVED: � —3�-o�, <br /> FEES TO BE CHARGED: Misc. Fees Cadculated By: <br /> PERMIT Yes-� No <br /> O PLAN REVIEW Yes No SEWER CONNECTION <br /> � STATE SURCHARGE Yes No WATER CONNECTION <br /> ti�J INVESTIGATIONFEE Yes 1�0. PARKFEE <br /> �% SAC Yes No SITEINSPECTION <br />� �(�� Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �U D J-t d�/v�� <br /> Fire Department: Post�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Righ Side: <br /> Rear(Street): Left Si : <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. Pe k Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date.• B Council Approval Date: <br /> Septic: StaffApproval Date: By. <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: B1uffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover variance Reguired: Yes No Date of Council Approval.• <br /> REMARKS(in house): <br /> 33 <br />