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» CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /100 ow 5 ,/ Av4e,( r <br /> PID: <br /> DESALRIPTION OF WORK: (Y1-// 8A' ,1/ (#4-C t /?Oc'1"1145 h Shill&O m 9 <br /> Ai . G... 44lcIn! Vi s ffl. <br /> ZONING REVIEW BY: DATE APPROVED: ,/z' <br /> .16 <br /> BUILDING REVIEW BY: , :: ,(5.1,, (Q _ DATE APPROVED: 1-30-c9g <br /> ------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓- No <br /> PLAN REVIEW Yes t/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No L PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: -1m <br /> Fire Department: Post Office: School District: <br /> u _ roc.fXcies' we/1 *rel f-T-rc nCI /a 10, re s <br /> Lot Area: Sq.f. Acres ZSr Width / Depth f9h " <br /> Survey Submitted: Yes V No Date of Survey: 4/6/Q1) <br /> Proposed Setbacks: s�-hell t / ��`C (�� , <br /> Front(Lake): �1110 Right Side: `3 3.8 I �L/ "" �. z 5 , <br /> 4111 z 7 - Za <br /> Rear(Street): 1114 . Left Side: <br /> Adjacent Structures: /Zi Wetland: <br /> Building Height: Def Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: N P 1 By. L (r <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 0 p© <br /> 75-250' of <br /> 250-500' 57e2.--S c4111 <br /> 500-1000' / <br /> VHardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): rni. p,.rt Att-. ,gcC BA? Sr4k1c",Ke-g <br /> S 591.4CZ .s — c az> A 4.4.4,4...)Pc.P <br /> 33 <br />