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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: "��' �- .���C = 2-c � �, � . ��;� <br /> PID: L���� %/ % - •�-�� �3 � �'3 <br /> DESCRIPTIONOFWORK: �iz,.c�� �—�� ;;:i _ Npy�-G�c�o�FGHV3'��' ��A� wc��Do�S <br /> ------------------------------------------------- ---------------------------------------------------------------------- <br /> ZONING REVIEV� BY: DATE APPROVED: � -13-9� <br /> BUILDING REVIEW BY: DATE APPROVED: $ - f3•`� (� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes e/' No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No _j� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Of:ce: Scho 1 Di trict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitt : Yes No Date of Su vey: <br /> Proposed Setba s: <br /> Front ( ake): Right Si e: <br /> Rear ( treet): Left Si : <br /> Adjace t Structu s: Wetland: <br /> Building Heigh : Def. Hg Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Da e: By: Council Approval ate: <br /> Septic: Staff pproval Date: By: <br /> Zoning File: Re olution: # Resolution Date: <br /> Shoreland Dist ict: <br /> Avg. etback: Blu Setback: <br /> Exi ting Proposed <br /> Hard ver: 0-75' <br /> 75-250 <br /> 250-50 ' <br /> 500-100 ' <br /> Hard ver Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />