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. . <br /> CHECK OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _�1���� NU<�'►1 S(�o�.2 c�r . <br /> PID: <br /> DESCRIPTIONOF WORK i� ��� �,,�,� �yl,�,,,�nq �f�oc.✓ <br /> ZONING REVIEW BY.• DATEAPPROVED: �8 � � <br /> BUILDING REVIEW BY: w,`, DATEAPPROVED: 3-� � _�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMI7' 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 CHEC%LIST Zoning District: �.., — � <br /> Fire Department: Post Offtce: School District: <br /> /� � <br /> Lot Area: Sg;ft. �2S� Acres Width `C� Depth <br /> Survey Submitted: Yes � No Date of Survey.• �� �� 6 7 �"QN /Z�Z G�G 7 <br /> Fi►- s.� S��,,'i' <br /> Proposed Setbacks: /��Sy�s� � <br /> F�e�t(Lake): �'�J Right Side: �� <br /> , ,�� / � � <br /> �etrr�Street): �� 3 -Lv,�dzSide:, / �� �v► <br /> Adjacent Structures: �/�" Wetland: `J/.� <br /> � ' <br /> Building Height: Def.Hgt. �� Peak Hgt. ?j <br /> �ot Coverage: • � 3 y��%e <br /> Grading: Staff Approval Date: /��} By: � Council Approval Date: <br /> Sertic: Stsff.4pproval Date: ^ ay, t,� <br /> �Zoning File: # _j�a Resolution: #-S��_ Resolution Date: � �I �S <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: O L BluffSetback: ��_ LotCwerc�ge: <br /> Hardcover: 0-75' I �isti�Z 9 t�vac�� Pro�s�� Sr <br /> �� T <br /> 75-250 J, -7 q f� r ���G � s� <br /> 250-500' � �.,cCo.,,�c��C. <br /> 500-1000' <br /> Hardcover Yariance Reguired.• Yes� No Date of Council Approval: Z �( <br /> REMARKS(in house): <br /> 33 <br />