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Y . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' � FOR OFFICE IISE ONLY <br /> ADDRESS OR LEGAL: _ I p-�y �„�,,,. �,� ,pw <br /> PID: <br /> DESCRIPTION OF WORK �?x.�t�e►c� „p C-L,�c �v��,v � <br /> ZONING REi�IEW BY.• j�1 I(� DATEAPPROVED: <br /> BUILDING REi�IEW BY.• DATEAPPROVED: 4 • �s� -cr-1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: .� <br /> PERMI7' 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: i✓'D C/-f-�'/✓�2 <br /> �i <br /> Fire Department: Post O�ce: School District.• <br /> Lot Area: Sg.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbackr: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. P ak Hgt. <br /> Lot Coverage: <br /> Grading: Sta,fJ'Approval Date: Council Approval Date: <br /> Septic: Sta,fJ"Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: CWD Permit: <br /> Avg. Setback: B1uffSetback.• LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />