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CHECK OFF LLST FOR ISSUAIVCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> r�iDDRESS OR LEGr�L: Z0�5 � � � <br /> PID: <br /> DESCRi�P'TION OF WORK p� �S <br /> ZONING REVIEW BY: DATE APPROVED: � • 3 -`'7�• <br /> BUII..DING REVIEW BY: DATE APPROVED: 6 �3- g 6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERl'VIIT Yes � No <br /> p�N g��� Yes � No SEWF.R CONNECITON <br /> STATE SURCHARGE Yes � No WA'1'� CONNECTION <br /> INVESTIGATION FEE Yes ✓� No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------- ---- /� / � <br /> ZONING CHECK LIST Zoning District: �- � Shoreland District: /1!4 <br /> Fire Department: Post Off . c%1 I}�_rict: <br /> � V <br /> Lo[?�rea: Sq.ft. <br /> Acres - i Depth <br /> Survey Submitted: Yes � No Date of Survey: /I'�"�s <br /> Proposed Setbacks: � <br /> Front (�.a�eej: /v �/� Right Side: ��� <br /> � <br /> Rear (�tree[j: (S��f Left Side: � � � <br /> Adjacenc Structures: �7'T�}G1'fz='� Wedand: �iQ <br /> Building Height: Def. Hgt. /v �/4 Peak Hgt. <br /> Av;. Setback: <br /> Bluff e ack: overa e: <br /> 'stin roposed <br /> H ardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance R uired: Ye No Date of Council Ap roval: <br /> Grading; Staff A roval Date: y: Council Ap roval Date: <br /> Septic: Staff pproval Date: BY� <br /> Zoning F' e: # Resolution: # Resolution Date: <br /> F��hZARI�.S (in house): 1�02 K- s��46ut-'i� `^�o ��`�y•'� � l4 r?�Z <br /> o� c� <br /> ,..�»,... <br />