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. . , <br /> CHEC%OFF LIST FOR ISSUANCE OFPERMITS <br /> F R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ S�D �i G i1�� 12 c� <br /> PID: � <br /> DESCRIPTION OF WORK: Q,�,� <br /> ZONINGREVIEWBY.• DATEAPPROVED: —O� <br /> BUILDING REVIEW BY.• DATEAPPROifED:._�- � . ��, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PE��' Yes �/' No <br /> PLA?V REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> WVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> 1Vumber of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: <br /> Fire Department: Post O�ce: School District.• <br /> Lot Area: Sq.ft. Acres Widsh Depth <br /> Survey Submitted.• Yes ✓ No Date of Survey: v� �-.--, �j/2 d�Q'� <br /> '�iruvh �i <br /> Proposed Setbacks: �� lr r <br /> Front(Lake): n�r �ight Side: �T <br /> Rear(�tr.�at): � Z �Side: � Cp ! <br /> Adjacent Structures: �/� Wetland.• � �r ' <br /> Building Height: Def.Hgt. h (/�r Peak Hgt. <br /> Lot Coverage:_(/1�_ <br /> Grading: Sta,f�'Approval Date: By: Council Approval Date: <br /> Septic: StafJ'Approval Date: � gy. �_� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: ✓ MCWD Permat: <br /> Avg. Setback: �1 A Blu,f,�'Setback: LotCoverage.• <br /> Existing Proposed <br /> Hardcover: 0-75' n p C��p,yi(�� <br /> 75-250' � �� f�5. �� <br /> zso-soo� �3 !� � �((�,.,�� b <br /> 500-1000 v Ar t aaC� <br /> Hardcover,Variance Required:( Y�i�- No_� Date of Council Approval: (� 9,' � <br /> REMARKS(in house): �,� �Z �. <br /> � o� cm zalawcA <br /> � 1 fi�^Q._ (� Z AIn1n l,�A,u rlc� <br /> 33 <br />