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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY , <br /> ADDRESS OR LEGAL: 13'7'1 rV prZ,T'�—) /�cz� �2 <br /> PID: <br /> DESCRIPTION OF WORK: Z - 1 �.. x i b t-�-=roS <br /> ZONING REVIEW BY.• DATEAPPROVED:10-�S -�I <br /> BUILDING REVIEW BY.• DATEAPPROVED: LQ -r S � v7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � s��� <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes i/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes�- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/� PARK FEE <br /> SAC Yes No� SITEWSPECTION <br /> Number-of SAC Units OTHER (specify) <br /> ---_---_-------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq,ft. Acres Width Depth � <br /> Survey Submitted: Yes /C No Date of Survey: a� -�,�e �-Z�-G� <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: �D�'� D•� <br /> (,1�,. s�-n� �►�vsP.t�►c��v_ <br /> Adjacenf Structures: Wetland: <br /> Building Height: Def Hgt. C�.l�- Peak Hgt. <br /> Lot Coverage: � �p �o <br /> Grading: StaffApproval Date: � (�k By: Council Approval Date: <br /> Septic: Staff Appi•oval Date: /•� �� By: <br /> Zoning File: #� — Resolution: # Resolution Date: <br /> Shoreland District: �,..�y MCWD Permit: <br /> Avg. Setbac� �.//�/} BluffSetback.• �((i} LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2.i 0' <br /> 250-.i 00' <br /> 500-1000' � �,� ��,--� <br /> Hardcover variance Reguired: Yes No�_ Date of Council Approval: <br /> REMARKS(in house): <br /> .i 3 <br />