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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DES CRIPrrT,''IOI�QFGVORK: S-- -- <br /> ZONING RE WE TV B Y: e� DA TE APPR O VED <br /> BUILDING RE VIE W B Y: o ' DA TE APPR O DIED: 'MN OL <br /> ---------------------- <br /> FEES TO BE CHARGED: Alfisc. Fees Calculated By <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER COtViNECTION <br /> INVESTIGATION FEE Yes iVo ✓ PARK FEE <br /> SAC Yes No t�-' SITE NSPECTION <br /> NUMber of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office., School District: <br /> Lot Area: Sq.ft. Acres 6Vidth Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: <br /> Proposed Setbacks: W5 CA,,�c-«--t <br /> Front(&tkc}: Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: 6f/etland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: BY: Council Approval Date: <br /> Septic: Staff Approval Date: -I -o y <br /> GV\ Zoning File: # O�-3Z 13 Resolution: # �4j_ Resolution Date: (o <br /> Shoreland District: <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(int house): <br /> �1 <br />