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�, <br /> CHEC.g OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,� ��� S�� �..j � ��� ��� <br /> PID: <br /> DESCRIPTION OF YT'ORK.• <br /> ZONING REVIEW B •" Z' DATEAPPROI�ED: <br /> BUILDING REi�IEW BY.• DATEAPPROVED: 6• L3•oS <br /> , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PL�4N REVIEW Y�S '� No SERrER CONNECTION <br /> STATE SURCHARGE Yes ./ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No_�� PARK FEE <br /> SAC Yes No SITEINSPECTIDN <br /> Number of SAC Units /�, #'��y) i Z-3-�� OTHER (spec�) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department.� Post Office: <br /> School District: <br /> Lot.4rea: Sq.ft. �C(J Acres , Widih / � De th <br /> P <br /> Survey Submitted.• Yes_ '!__ No Date of Survey: � / O� <br /> Proposed Setba • � <br /> Front ke) �l� i t Side: `� , <br /> i �-- <br /> Rear(Street): 7 �Side: � � <br /> Adjacent Structures: Wetland: <br /> / <br /> Building Height: Def. Hgt. Peak Hg1. <br /> Lot Coverage.• -rj�p7/ <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staf,j"Approval Date: ��`� � <br /> ay: � <br /> Zoning File: # ��� / Resolution: # Resolution Date: <br /> Shoreland District: MCWD Permit: <br /> Avg. Setback: BZuffSetback: <br /> Lot Cwerage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> � <br /> Hardcover Variance Required: Yes� No Date of Council.9pproval: <br /> REMARIiS(in house): <br /> 33 <br />