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CHEC3K OFF i�IST FOR ISSUANCE O�F i'ER+.'VIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGA.L: 4 - ' <br /> PID: <br /> DESCRIPTION OF WORK: f�c� d ``�� <br /> ZOYLNG REVIE`V BY: --------�G ---- DATE APPROVED: <br /> SUILDI.I�IG REVIEtiV BY: �) DATE APPROVED: p -z� --a7 <br /> F`EES TO BE CHAJ.2GED:� �, Misc. Fezs Calculated By: <br /> pEg�T Yes No <br /> PLAN REVIEW Yes � No SE�VER CO��EC`I'ION <br /> STATE SURCHARGE Yes �/ No WA'I'ERCONNEC'TION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ---------------------------- ----�------------------ <br /> -------------------------- � <br /> ZO�G CHE.CK LIST Zoning District: . <br /> Fire Department: Post.Office: School District: � <br /> I.,ot Area: Sq.ft. Acres Width DepCh <br /> Survey Submitted: Yes No Date oF Survey: <br /> Froposed Setbacks: Q,�d�s� <br /> Froat(L.a�e}: YI1� Pa�Side: 'n b , <br /> waS�— O `� <br /> Rear (�eeti: G � �tft Side: <br /> �y 6•t yy�GrL �w�'1 IYL�N l NtN'� <br /> Adjaceat Structures: Wetland: <br /> Builclin�Hei�t: Def, Hgt, V�k1 Peal;.Hgt. <br /> Lot Coverage: ��' <br /> Grading: Staff Approval Date: By: Council Approval Date: � ' <br /> , . , <br /> Septic: Staff Approval Date: ' �` �Y: �`. '. <br /> r <br /> Zoning File: " Resolutioa: � Resolution Datz: _ <br /> Shoreland District: n/� I.ot Cover�ge: <br /> Av�. Setback: Bluff Setback: <br /> ExistinD Preposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�Q-SG4' <br /> 50C-1000' - <br /> , <br /> H�.'dco�•�- V�i�.ce o�qu;:e�. y�s No Daie of Co'�cil A�provz, , <br /> r.,�. . L��� (i^:h��t���l: � <br /> �.L.� <br />