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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: -7 00 � /1,,,/ � . <br /> PID: - <br /> DESCRIPTION OF WORK: _�o F ���4-,/Z <br /> ZO�TG REVIEW BY: l� DATE APPROVED: <br /> . BUILDTi�1G REVIEW BY: _� DATE APPROVEDt G •3e�.0 3- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11iIIT Yes � No <br /> PLAi�t REVIEW Yes No ✓ SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOI��TG CI�CK LIST Zoning District: N� C <br /> Fire Department: � Post Office: School District: • � " <br /> Lot Area: Sq.ft. Acres ' idth Depth <br /> Survey Submitted: Yes � No Date of Survey: <br /> Proposed Setbacks: � � <br /> Front(I.ake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Netlan : . <br /> Building Hei�ht: Def. Hgt. Peal:Hgt. <br /> I <br /> Lot Coverage: �j <br /> I� <br /> Gradina: Staff Approval Date: By: � Council Approval Date: <br /> Septic: Staff Approval Date: By; I�,� <br /> Zoning File: # Resolution: # I�Resolution Date: � <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existin; Proposed <br /> Hazdcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARKS(in house): <br /> 7 <br />