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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> F R OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � ���C� <br /> ' PID: . <br /> � DESCRIPTION OF WORK.• /}�f / �iy/S' £. <br /> ZONING REVIEW BY.• DATEAPPROT�ED:_ h..����Q 1 <br /> BUILDING ItEi�IEW BY.• �� DATEAPPROi�ED: �2- <br /> =~-v-- � - <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 (spec�) <br /> ZONING CHECK LIST Zoning District.r L,�- � <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sg.ft. Acres Z•�Z Width Depth <br /> Survey Submitted: Yes � No Date of Survey: <br /> Proposed Setbacks: S�y�.. <br /> Front�Zrkej: Tl , �,� �ighz Side: �{ � <br /> Rear ���/� S�� / <br /> ���� .�eftSide: � K /! �lI�`'1GuC GJ G�t��2.7f� <br /> / �p�.S�S r/1'I P.�'iv� <br /> Adjacent Structures: _�� Wetland: /��J Lot L� �oaK�ne� q j. <br /> Buildin Hei ht: De. H �'�°� -So��s �ps L. <br /> g g l �• O� PeakHgt. Qb//��e,��v/r�IS:{�,a.Y <br /> Lot Coverage:�f� �S no�hnd 0�,�� <br /> Grading.• StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: �� �IC�'�� By. �— <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /Vp MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> F�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required.• Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 33 <br />