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CHECK OFFLIST FOR ISSU ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'l'-�5 1't1'Q 2►'}� t=A(ZVh. �� <br /> PID: <br /> DESCRIPTION OF WORK: c�c.,�� <br /> ZONING REVIEW BY.• DATEAPPROVED: S-� 6. c�� <br /> BUILDING REVIEW BY: DATEAPPROVED: 5-l6— �� <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 . J' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: � <br /> Fire Department: Post O�ce: School District: <br /> LotArea: Sq.ft. Acres 2•M,�- Width Depth <br /> Survey Submitted.• Yes �/ No Date of Survey: �j-Lct-0� <br /> Proposed Setbacks: <br /> Front(Lake): 1 t�' '`= Right Side: 31� 5 " <br /> Rear(Street): 3`i O � "k' Left Side: � 3'1� � <br /> Adjacent Structures: ArT�u�c.^� Wetland: n//R <br /> Building Height: Def.Hgt. ^/(�1 Peak Hgt. —' <br /> Lot Coverage: — /Y � <br /> Grading: Staff Approval Date: -� By: Counci/Approval Date: <br /> Septic: Staff Approval Date: /2-�u-U"? By: /,✓G <br /> Zoning File: # .- Resolution: # Resolution Date: <br /> Shoreland District: NO MCWD Permit: <br /> Avg. Setback: Blu,fJ`�Setback: LotCoverage: <br /> Existing 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 /> RE11�4RKS(in house): <br /> 33 <br />