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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '�b-�S �y/i.�� �g�,,,� <br /> PID: <br /> DESCRIPTIONOFWORK ecic s-�-,2 ��J�,q� �,vr<��✓� <br /> _ ��v��1�,4c,` =9 <br /> ZONING REVIEW BY: DATEAPPROT�ED: �0 �3-�� <br /> B UILDING REVIEW BY.• DATEAPPRO[�ED: i o - i 3-o$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �� <br /> PERMIT Yes r/' 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: D C ! w�-�+ <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: etland: <br /> Building Height: Def.Hg2. eak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: � By: Council Approval Date: <br /> Septic: StufJ'Approval Date: y; <br /> Zoning File: # Resolution: # Resolutaon Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetb ck: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: D-7.i' <br /> 75-�50' <br /> 250-.i 00' <br /> 500-1000' <br /> Har•dcover 6�'ariance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 3 <br />