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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �"�U`� (� J`j«'(�� `'�-� � �)r� ;,�-r� <br /> � �«r <br /> PID: <br /> DESCRIPTION OF WORK n��r.�, �j�;�;j� �1 �Y,,,��,k,X �;��� <br /> ZONING REVIEW BY.• � �jr/ � DATEAPPROT�ED:�S 2 I �Cj <br /> BUILDING REi�IEW BY.• DATEAPPROVED: 5-l3- u S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �� ��� � ~ <br /> PERMIT Yes ./ No <br /> PLA1V REVIEW Yes_/L No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No N�ATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units Qq,A �37 t?� Y- �3•�3 OTHER (spec�) <br /> ZONING CHECK LIST ' �'� ���� ���� ~�� � <br /> Zoning District: —� <br /> Fire Department: Post O�ce: School Dislrict: <br /> Lot Area: Sq.ft. Acres G � �Width �� Depth <br /> SurveySubmitted: Yes ��' / No Date ofSurvey: �� �2-0��8 Y'Q-`� . ��9'�� <br /> Pro osed Setbacks: �sh��,C <br /> P <br /> .�sn�(Lake): I'�2 � Rigirt'Side: � (o' Z� � <br /> � — S /Z o..�hc�a.��PoaIG <br /> Rear ��� 2 �—� <br /> ���: f d �efY Side: �� • J <br /> � 2 3 1s�' � ti��,�,.�8� <br /> Adjacent Structures: Wetland: �I�}� <br /> �'" 3..� <br /> Building Height: Def. Hgt. Z �, �D Peak Hgt. c��. �p �� <br /> Lot Coverage: � •�� � <br /> Grading.� StaffApproval Date: �.f} �{'X�tQs}yoo� By,; ���'1 �ouncil Approval Date: <br /> Septic: StaffApp�-oval Date: � By. . <br /> Zoning File: # �J� � `����,� Resolution: # Resolution Date: � `���� <br /> Shoreland Disb-ict• MCWD Perm � " �Z <br /> Avg. Setback: � B1uffSetback: �� <br /> Exist� P�roposed <br /> Hardcover: 0-75' <br /> 75-250' ��,7�( <br /> �250-500' �' 3S— �S-°lo <br /> �soo-l000� sy,(�2�0 <br /> Ha��dcover i�ariance Required: Yes��No� Date of Council App�•oval: ( Z� �J� <br /> -� <br /> REMARKS(in house): <br /> 33 <br />