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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��'7�1 ( (C�i(�/ ���� <br /> PID: <br /> DESCRIPTION OF WORK: ( Su <br /> ZONING REVIEW BY: DATEAPPROT�ED��fZ,Z � <br /> BUILDINGREi�IEWBY.• DATEAPPROVED: �-z3- ��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ~ � Ms� M ~ <br /> PERMIT Yes ,il 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 (specify) <br /> ---------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Off ce: School District: <br /> Lot A��ea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: ��� ��d� By: �_V" <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> F.xisting Proposed <br /> Hardcover.• 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Nardcover Variance Required: Yes No Date of Council Approval.• <br /> REMARKS(inhouse): �IS 1 � � �- � q ' " <br /> roc.w� <br /> x�s n o r �� u► . <br /> 33 <br />