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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z$� � L , ,�c.L (�R� (,��g,�, <br /> PID: <br /> DESCRIPTION OF WORK: � � <br /> ZONING REVIEW BY.• DATEAPPROijED: <br /> BUILDING REVIEW BY.• G D . DATEAPPROi�ED: �a -2.�{-a1 <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 PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: �� <br /> Fire Department: Post Office: 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: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading.• StaffApproval Date: By: Council Approval Date: <br /> Septic: Stafj"Approval Date: gy.• <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Required: Yes No Date of Council Approval: <br /> REMARXS(in house): .��?�e C�r/� o r= ,�1-1-c.p.7F �2 -�ov�- �pa� <br /> � t— �Z.2~r')4-�N 1 r� t�J✓,�c,c.5 <br /> 33 <br />