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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z S r r' D rZci� <br /> PID: <br /> DESCRIPTIONOFWORK o��r- da�2. ,t,�,���� <br /> ZONING REVIEW BY.• DATEAPPROVED: �-�o_�� <br /> BUILDING REVIEW BY.• ,,,._ DATEAPPROVED: co-c u_o�g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PE��' Yes �/' No <br /> PLAN REYIEW Yes_� No ✓ SEWER CONNECTION <br /> STATE SURCHARGE Yes r/� 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 O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_I� No Date of Survey: or+ �l! <br /> Proposed Setbacks: <br /> FTapR(Lake): Z o O � 4� Right Side: �,5-�p � + <br /> Rear(Street): �.o u � t' Left Side: 3S� '�' <br /> Adjacent Structures: �p' Wetland: N I A� <br /> Building Height.• Def. Hgt.�`�•�� Peak Hgt. '- <br /> Lot Coverage: /ll�/q <br /> Grading: StaffApproval Date: ""- By: Council Approval Date: <br /> Septic: StaffApproval Date: '—' gy; <br /> Zoning File: # r' Resolution: # Resolution Date: <br /> Shoreland District: y-e s MCWD Permit: <br /> Avg. Setback: B1uffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-7.i' <br /> 75-2.i 0' <br /> 250-500' YV J C�-F� <br /> 500-1000' <br /> Hardcover variance Required: Yes No_� Date of Council Approval.� <br /> REMARKS(in house): <br /> 33 <br />