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IA'` . <br /> 1 ` <br /> CHECK OFF LIST FOR ISSUAi�iCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3S c�"Z s 1-t oct.c l.wQ r�R <br /> PID: <br /> DESCRIP'I'ION OF WORK: l'L�;w�o�o�L - sN-^�^��^� ��� <br /> ------------- --------- . . '- <br /> ZONING REVIEW BY: DATE APPROVID• � i S'- S;6 <br /> BUII.DING REVIEW BY: DATE APPROVED: �s-/S'�SG <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 CONNEG'ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /3- S� Shoreland Disuict . y<.5 <br /> Fire artment: Post ice: Schoo 'strict: � <br /> Lot Ar a: q.ft. Acres Width Depth <br /> Survey ub 'tted: Yes No Date of Surv : <br /> Propose Setb ks: <br /> Front ( e): Right Side: <br /> ear (Str t): Left Side: <br /> djacent St ctures: W land: <br /> Buildi.ng Height: Def. gt. Pe Hgt. <br /> Avg. Set ack: Bluff S tback: t Coverage: <br /> Ezistin roposed <br /> Hardcove : 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcove Variance Required: Yes No Dace f Council Approval: <br /> Grading: taff Approval Date: By: Council Approval Date: <br /> Septic: S Approval Date: BY� <br /> Zoning Fi e: # Res lu on: # Resolution Date: � , <br /> (in house): <br />