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.. . . <br /> CHECK OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�5' L�cc— �,.,,�,� �,q�,` <br /> PID: <br /> DESCRIPTION OF WORK: (f o�„¢ft, [..�v�t, ��n,,�,* <br /> ZONING REVIEW BY.• ( �A DATEAPPROVED: <br /> BUILDING REVIEW BY.• DATEAPPROVED: S•�2-a� <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 (specify) <br /> ZONING CHECK LIST Zoning District: �c7 G y 6,Q„ � <br /> Fire Department: Post�ce: 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 Si : <br /> Rear(Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def.Hgt. ak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: _ I�(2-U� By: �,;(_ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: B1uffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-]000' <br /> Hardcover Yariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />