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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��S p/-12 7Z��,.�o p� <br /> PID: <br /> DESCRIPTION OF WORK: �O��`+1 or�v �-c, �c�K <br /> ZONING REYIEW BY.• DATEAPPROVED: �o -� -a 7� <br /> BUILDINGREVIEWBY: DATEAPPROi�ED: ��.��r� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By.• �� � 'w_______ <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/�� �o WATER CONNECTION <br /> INVESTIGATION FEE �,�hYes ✓ No PARK FEE <br /> SAC Yes No� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> �-�--�--�--�--���-�----------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitled: Yes No ry� Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Lefl Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffAppi•oval Date: gy; <br /> Zoning File: # Resolution.• # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-.i 00' <br /> 500-1000' <br /> Ha�-dcover Variance Required: 3'es No Date of Council Approval: <br /> REMARKS(in house): � (� S-rtq 2.�0 �,— <br /> — T1�1I5 �-r — /J- 0�'T� /v C. d l� <br /> c`x�51� 6 a n �1�4r w AS o- f�. �c.2 v�v✓L� ,�,, ` <br /> 33 <br />