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' � CHECK OFF LIST FOR I5SUANCE OF PERMITS <br /> FOR OFFICE USE ON�,Y <br /> ADDRESS OR LEGAL: �=5�:�•� �� >�' ��-���, /�,.; <br /> PID: -�'- - i � �� :� =��� rF,� _ ., : <br /> DESCRIPTION OF WORK: � r- ��>j <br /> --------------------------------------- ------ ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: � -l 7-R 41 <br /> BUILDING REVIEW BY: DATEAPPROVED: g� -r�.-q,� <br /> FEE5 TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No � <br /> PLAN REVIEW Yes �' No SEWER CONNECTTON ; <br /> STATE SURCHARGE Yes _� No WATERCONNECTION � <br /> INVESTIGATION FEE Yes No PARK FEE �; <br /> SAC Yes No SITEINSPECTION , <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �Qn — (� <br /> Fire Department: �u� Post Office: School District: OILOrN I <br /> Lot Area: Sq.ft.��Acres Width Depth <br /> I <br /> Survey Submitted: Yes pL No Date of Survey: �.t � , <br /> Proposed Setbacks: , <br /> Front(L�dee): 2�'� � Right Side: � ��� t' <br /> Rear (&�eety 87� � Left Side: �O5� �' i <br /> I <br /> Adjacent Structures: �Q-r�Y�►G/f�� Wetland: �t/(� <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: I <br /> Grading: Staff Approval Date: By: Council Approval Date: �'� <br /> � <br /> Septic: Staff Approval Date: By: • - <br /> � Zoning File: # Resolution: #� Resolution Date: I <br /> 1"� <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />