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CHECK OFF LIST FOR ISS UANCE OF PERM1 TS <br /> �F' R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ ; t "� ��_����x�-1 � ;A� <br /> PID: <br /> DESCRIPTION OF WORK �. n <br /> ZONING REVIEW BY.• �� DATEAPPROVED.�(O ��7 <br /> BUILDING RET�IEW BY.• DATEAPPROT�ED: �p• 3►_ o� <br /> FEES TO BE CHARGED: � Misc. Fees Calculated By: � M �� <br /> PERMIT Pes_�/ No <br /> PLAN REVIEW Yes �/ No SEWER CONiVECTION <br /> STATE SURCHARGE Yes_�� No WATER CON,'VECTION <br /> INVESTIGATION FEE Yes No ,/' PARK FEE <br /> SAC Yes No_� SITEINSPECTION <br /> Number ofSAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: W Y � ����~ �M� M <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres YG'idth Depth <br /> SurvevSubmitted: Yes No Date ofSurvey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: YY'etland: <br /> Building Height• Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: ^ By: Council Approval Date: <br /> Septic: StaffApproval Date: By.��� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCYVD Permit: <br /> Avg. Setback. BluffSetback: LotCoverage: <br /> Fxisting Pr�oposeG! <br /> Hardcove�-• 0-75' <br /> 75-250' — <br /> 250-.i 00' — <br /> 500-1000' — <br /> Hardcover Uariance Required.� 7 es No Date of Council Approval.� <br /> REMARKS(in ouse): �S f� F1Ce�lv� � O� � �K f S l�t <br /> �� <br /> 33 <br />