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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: ��7 c� 5 t-�o c�-E�.�w� D(Z. � . <br /> PID: -- -- -- - <br /> DESCRIPTION OF WORK: F�,n,� S,-,4�...,o,-� <br /> ZO�TG REVIEW BY: DATE APPROVED: -2.6 •o <br /> BUII..DIYG REVIEW BY: � DATE APPROVID; � • i6 •0 3 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes ,/' No <br /> PLAl�T REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATF1tCONNECI'ION <br /> INVESTIGATION FEE � Yes No v' PARK FEE <br /> SAC Yes ,/ No SITEINSPECTION <br /> Number of SAC•Units z OTHER (specify) <br /> ZOIVING CHTCK LIST Zoning District: _ <br /> Fire Department: � Post Office: School District: • � <br /> Lot Area: Sq�.ft. Acres � Width Depth <br /> Survey Submitted: Yes � No Date of Survey: <br /> Proposed Setbacks: � � � <br /> Front(I.ake): Right Side: <br /> Reaz(Street): I.eft Side: <br /> Adjacent Structures: Wetland: . <br /> �� <br /> b; Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> Z50-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE1I�IARKS (iIl hoUSe): a(Lo�v v �,,p„� -h� � f�` i..� l3.0.s a Ff=-,c� c�.�ri c. -- <br /> 7 . <br />