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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ON Y <br /> ADDRESS OR LEGAL: %�2� S � . S��-��— ��' <br /> PID: <br /> DESCRIPTION OF WORK f' / Cc�-�yi C� <br /> -----------------------------------------------�-------------------------------------------------------------- d� <br /> ZONING REVIEW BY.• DATEAPPROVED: I� <br /> BUILDING REVIEW BY.• DATEAPPROVED: �1- $ -�"? <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLANREVIEW 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 ,a�'2S5� ��-I.�p OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Offtce: School District: <br /> Lot Area: Sq.ft. �� / � Acres Width Depth <br /> Survey Submitted: Yes �/ No Date of Survey: �ICJ <br /> Proposed Setbacks: ,� � p�/��' ✓ ��V <br /> Front(Lake): ! �_ 7.�-ig�h�!Side: _� <br /> l ! /') ' <br /> Rear(Street): / �; Left Side: �/ <br /> Adjacent Structures: � Wetland: h�' <br /> Building Height: Def.Hgt. � ' v Peak Hgt. � <br /> t��Lot Coverage: !��Z S <br /> Grading: StaffApproval Date: ! By: (1�'""' Council Approva!Date: <br /> i— <br /> Septic: StaffApproval Date: � By. <br /> Zoning File: #��O' �2`�'� Resolution: # Resolution Date.• 4 � �� <br /> Shoreland District: ✓ MCWD Permit: <br /> Avg. Setback: �[(�+q�vll"e. _ BluffSetback: LotCoverage: <br /> '�� Existing Proposed \ <br /> Hardcover: 0-75' ,�,-]��5�Q-p S �Q-x�shnc�J <br /> �s-2so� 37cX� 2q .q% <br /> 2so-soo� � z i�, v<io <br /> 500-1000' <br /> Hardcover Yariance Required: Yes� No Date of Council Approval: � � U <br /> l <br /> � - . �. r <br /> REMARKS(in house)__�,� _ _ _ "�4. • <br /> , . ___ _ _ <br /> - - _ _ . .. �- �., ��,., . ,. ..-.. y..ur� �!- <br /> � ,.. .. ��L:'1 r� .r-. _.�_ -'.� <br /> � <br /> �� 34 <br />