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_ CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ° FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: : ,,� �t � ���c�'�i;�-�,_,�-=) ��"� <br /> PID: <br /> DESCRIPTION OF WORK �h c( .S � �I -(� ��-, <br /> ZONING REVIEW BY.• c'.� M DATEAPPROT�ED:�l� Z�-C.> <br /> BUILDINGREi�IEWBY.• DATEAPPROT�ED: �1-�- a7 <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 YT�ATER CONNECTION <br /> INVESTIGATION FEE Yes No_ / PARK FEE <br /> SAC Yes No J SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST N Zoning District.Y�M��'�—�/� ������M�____�_ <br /> Fire Department: Post O�ce: School District: <br /> Lot Ar-ea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Y'es V No Date of Survey Z C��G a <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: �� ���� <br /> Rear(Street): Left Side: �YvY�'I '�X/S �� � � <br /> Adjacent Structures: Wetland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: By; 1...�.��'" , <br /> C��- <br /> Zoning File: #����I Resolution: # Resolution Date: �C�Z L�C� � S�-�h�}c �C �,�,,9-y�,Q1.�(,� <br /> Shoreland District: MCYf�D Permit.� y1 C7 C.IN�ry�C�,�, <br /> Avg. Setback: BluffSetback: LotCoverage: ��'1 �'}/�YC�C C�� <br /> F.xisting Proposed <br /> Hardcover: 0-7�' <br /> 75-250' <br /> Z.i 0-.i 00' <br /> 500-1 D00' <br /> Hardcove�• Variance Required: I'es No Date of Council App�-oval: <br /> REMARKS(in house): /(� SC�I U6�7 G - r U,5�- , � ,S� /� <br /> 33 <br />