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i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z430 77-H6�ZQ A6 Hr3/L<70 LAVE <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONII IG REVIEW BY: DATE APPROVED: 6 -Ze <br /> BUILDING REVIEW BY: DATE APPROVED: 6. 2*-�y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAIN REVIEW Yes t/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No t/ SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes oc No Date of Survey: S 2-71 <br /> Proposed Setbacks: <br /> Front(?=sake): Right Side: /7(dl t <br /> Rear(Street): (70 ` fi Left Side: yg <br /> Adjacent Structures: Wetland: — <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: 6.)L- <br /> Grading: <br /> ) –Grading: Staff Approval Date: _ By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: n1 d <br /> Avg. Setback: Bluff Setback: Lot 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 /> REMARKS(in house): <br /> 7 <br />