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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> �'OR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z��-� ����1�-'�� <br /> PID: <br /> DESCRIPTION OF WORK /B�X/O� S <br /> ZONING REVIEW BY:~~ W M N ~�M 1� � DATEAPPROVED:� .3 U a� <br /> BUILDING REVIEW BY.• DATEAPPROVED: � • 3 ��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT 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 CHECK LIST ~Zoning District � ��,�� �"�"""""___________________�__ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sg.ft. 38 Acres Width �� Depth � a� <br /> Survey Submitted: Yes� No Date of Survey: C�g <br /> Proposed Setbacks: � So�1�^ / <br /> ' Front(Lake): �Z� .R�giit Side: �� <br /> 5� w <br /> 1�����ear(Street): �3� ` �eft�Side: �� � h,P.�?/�C���'� <br /> Adjacent Structu�•es: / S � Wetland: �//-� <br /> Building Height: Def. Hgt. 0�� Peak Hgt. <br /> Lot Coverage: �0��3 �V <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: �V � By: �v <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg.Selback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover.• 0-7.i' U�� 2,5�o <br /> 75-250' > (�SS�i1F�'►'� <br /> 2sn-soo� �_ p o �5-Z�O <br /> 500-1000' � <br /> Kal•dcover �ariance Required: Yes No Date of Coa�nci!App�•oval: <br /> REMARKS(in house): <br /> 33 <br />