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CHECK OFF LIST FOR ISSUANCE OF PERII�ITS <br /> ' FOR OFFICE USE ONLY <br /> . ADDRESS OR LEGAL: 2?5S 4�E-�.� Av� <br /> PID: <br /> DESCRIPTION OF WORK: Qp� f ,c3 As���,�,.r. i?,�-,�,,,�p Z <br /> ZONING REVIEW BY.• (r�1 DATEAPPROVED: � <br /> SUILDINGREVIEWBY.• DATEAPPROVED: �,• 33-0� <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 c/' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /vV C��rq� � <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): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetl nd: <br /> Building Height: Def. Hgt. Pea Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By. Council Approval Date: <br /> Septic: StafJ'Approval Date: By.• <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback.• Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2.i 0-500' <br /> 500-1000' <br /> Hardcover variance Required.• Yes No Date of Council Approval.• <br /> REMARKS(in house): <br /> 33 <br />