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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADpRESS OR LEGAL: �j(� M YI??t�=c,vao� <br /> , �PID: <br /> DESCRIPTION OF WORK F l�� d qr.y��L,� �q,�,� <br /> ZONING REVIEW BY.• DATEAPPROVED: <br /> BUILDING REVIEW BY.• DATEAPPROVED: •3- d� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• <br /> PERMIT Yes �/ No <br /> PLAN REVIEW. Yes No ✓' SEN�ER CONNECTION � <br /> STATE SURCHARGE Yes f 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: yo GI fAN6 C <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 Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �etland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading.• SlaffApproval Date: By: Council Approval Date: <br /> Septic: Staff.4pproval Date: <br /> Zoning File: �# Resolutiorr: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Ha•dcover: 0-7�' <br /> 75-250' <br /> 2.i 0-�00' <br /> .i 00-1000' <br /> Hardcover 6'ariance Required: 3'es No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />