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CHECK OFF LIST FOR ISSUANCE OF PERl�ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �g a ST v P,�l.�5 C3iq y �Lo,q,� <br /> PID: <br /> DESCRIPTION OF WORK: A�3 ovC �R.a�N�O PooL <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> Z0�1ING REVIEW BY: �,.... DATEAPPROVED: s--t5-�r8 <br /> BUILDING REVIEW BY: DATE APPROVED: s-�s• S�', <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes ti No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CI3ECK LIST Zoning District: l.R� � <br /> Fire Department: (P�r � Post O�ce: �,o School District: p(?�i0 <br /> Lot Area: Sq.ft. �0�600 Acres 1��5 Width Z�t� Depth 31 U <br /> Survey Submitted: Yes�C _ No Date of Survey: (Q-1` '1(� <br /> Proposed Setbacks: � � <br /> Front (�): (�0 } Right Side: �� �= <br /> Rear (�eet): 100, + Left Side: I(o�� �= <br /> i <br /> Adjacent Structures: IS � Wetland: /V (� <br /> Building Height: Def. Hgt. /l� (A 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 /> N.�• 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 /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> MARKS (in house): - <br /> 7 <br />