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, ` <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADD S OR LEGAL: �l(,c7 S v Ss L. X �Zo�� <br /> PID: <br /> DESC ON OF WORK: �L W �� S <br /> -- --�-------------------------------------------------------- <br /> ZO�t�1 REVIEW BY: DATE APPROVED: �-�, - o z <br /> BUILD G REV�W BY: DATE APPROVED; �.Z,. o� <br /> FEES T BE CHARGED: Misc. Fees Calculated By: <br /> PERMI Yes ✓, No <br /> PLAN VIEW Yes � No SEWER CONNECTION <br /> STATE URCHARGE Yes �/ No WATERCONNECITON <br /> INVES IGATION FEE Yes No �' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Numb r of SAC�Units ��.�arr� ,4,��-,a OTHER (specify) <br /> ZONI�i 1 CH�CK LIST Zoning Districr. <br /> Fire Dep ment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey S bmitted: Yes_ CL No Date of Survey: 2-Z7-O Z <br /> Proposed etbacks: <br /> ron[(�ake): '�7`'1. � � Right Side: 5 S y <br /> ear (SfFeet): Z? 5' Left Side: b°l <br /> djacent Structures: � �l} Wetland: (b 0' 't <br /> Building eight: Def. Hgt. 3o Peal:Hgt. 3� <br /> Loc Cove age: nl�1� <br /> Grading: Staff Approval Date: �{-/7- d 2 By: �_ Council Approval Date: — <br /> Septic: aff Approval Date: �• `z'7 –c�Z By: �li� <br /> Zoning F e: # — Resolution: # — Resolution Date: — <br /> Shorelan District: �V'O <br /> v�. Se[back: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> ardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> ardcover Variance Required: Yes No Date of Council Approval: <br /> RE S (in house): <br /> 7 <br />