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CHECg OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE ZISE ONLY <br /> ADDRESS OR LEGAL: _ �3 qc� �A� � n�,,�� <br /> PID: <br /> DESCRIPTION OF WORK: _ A�p� ��a <br /> ZONING REVIEW BY.• � �J� �/j/L,.S DATEAPPROVED: I O7 <br /> BUILDING REi�IEW BY.• DATEAPPROVED: �-S -�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> P���E� �'eS � No SEYVER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> 1Vumber of SAC Units OTHER (spec�) <br /> ZONING CHECg LIST Zoning District: �i �l.3 <br /> Fire Department: Post Office: School District: <br /> z��v . �� <br /> Lot Area: Sq.ft. Acres Width Depth <br /> � -� � �Survey Submitted.• Yes � No Date of Survey: � Z 3 D 7 <br /> � " Proposed Setbacks: <br /> / <br /> Front(Lake): '� Side: <br /> Rear(Street): V I� Left Side: <br /> Adjacent Structures: �/U/ Wetland.• 1`��� <br /> / <br /> Building Height: Def.Hgt. �� Peak Hgt. ��i �/ <br /> Lot Coverage.• ,g�`� <br /> Grading: StaffApproval Date: By: �� Council Approval Date: ���/v� <br /> Septic: StaffApproval Date: By, � <br /> Zoning File: #���3 Resolution: # Resolution Date: � � <br /> _,,Shoreland District: � MCWD Permit: <br /> Avg.Setba k: � luff Setback: Lot Coverage: <br /> F_xisting Pro ose <br /> Hardcover: 0-75, p/��vlb /„� <br /> 75-250' � ��7 s� <br /> 250-500'. <br /> soo-l000' --�Z� lr��gs� <br /> Hardcover Yariance Reguired.• Yes� No Date of Council Approval: ✓1'��� <br /> REMARKS(in house): <br /> 33 <br />