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1 • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Z�o t I�e!�� �q�•-c <br /> PID: <br /> DESCRIPTION OF WORK ���� <br /> . ZONING REVIEW BY.• ~� DATEAPPROifED: q-�6-0 8 <br /> BUILDING REVIEW BY.• DATEAPPROf�ED: �-i�• �9 . <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �� <br /> Fire Department: Post Office: School District.• <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted.• Yes�_ No Date of Survey: f�•t g, o$ <br /> Proposed Setbacks: <br /> F�ent(Lake): t(o3' Right Side: I 1 � <br /> Rear(Street): L 19� Left Side: _ 1�� � <br /> Adjacent Structures: hT'�V�Gt�I-t."� N�etland.• _ N/A <br /> Building Height: Def.Hgt. Il�t IPI Peak Hgt. — <br /> Lot Coverage:_ �y.�7 <br /> Grading: Staff Approval Date: '�' By: Council Approval Date: <br /> Septic: StaffApproval Date: — By. <br /> Zoning File: # — Resolution.• # Resolution Date: <br /> Shoreland District: y�g MCWD Permit: <br /> Avg. Setback. V,� BluffSetback: �!�A LotCoverage: �y,y� <br /> Ezisting Pro osed <br /> Hardcover: 0-75' p �s7c��T-IN� Y91�s� �T <br /> 75-250' 25.SD z1. rd l�wkwal5 t,o�_ <br /> 2.i0-.i00' �rc�'(�eck rv.,w✓S 2 <br /> soo-l000� ys��c,w� 3'� y <br /> p.��= 3'�-� <br /> � <br /> Har•dcover 1'ariance Regz�ired: 3'es No Date of Council Approval: Y! 6 7 <br /> REMARKS(in house): Y�(�Z : �5 p�'£S - �7�i� <br /> 33 <br />