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��Tu,1Z/� S�/2��T �c-� �d <br /> /`1//<�. , <br /> CHECK OFFLIST FOR ISSUANCE OFPERMITS ,j <br /> FOR OFFICE ZISE ONLY <br /> ADDRESS OR LEGAL: ���� �,�c.✓I� ,�Ic�r��(� <br /> PID: <br /> DESCRIPTION OF WORIG _Q�,�n,n I-n��.rcL1 <br /> �_��__���__�_�_-----�_______�_�_____________�__�_w_w_�_---------------- <br /> ZONING REVIEW BY: �" DATEAPPROifED: <br /> BUILDING REVIEW BY: DATEAPPROVED: � z-�_o co <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 Distf•ict: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sg.ft. Acres Width Depth <br /> Survey Sa�bmitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Le,�t Side: <br /> Adjacent Structures: Wetland: <br /> Buildi»g Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: ����D� <br /> Grading: Staff Approva!Date: By: Coarncil App��oval Date: <br /> Septic: StaffApproval Date: By: <br /> � Zoning File: #C�(o-3 l 4"'1 Resolz�tion: #��� Resolution Date: Z �7 �� <br /> Shoreland District: I� MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-7.i' <br /> 75-250' <br /> ro� �,�1 asn-soo� <br /> N�� soo-�000� <br /> Hardcover �ariance Required: Yes ;Vo Date of Council Appi•oval: <br /> REMARKS(in house): ��;����,��.� c�AS /�n�� <br /> 33 <br />