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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: AT►�Ott�t exL2 <br /> ZONIPIG REVIEW BY: DATE APPROVED: <br /> BUII.DL�?G REVIEW BY: J&;� <br /> DATE APPROVED: �'-/+!-'P(o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER-MIT <br /> ✓, No <br /> ER <br /> PLANS Yes No SEWCONNECTION <br /> STATE SL`RCHARGE Yes ✓ No WATER CONNEC PION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> Yes No SITE INSPECTION <br /> SAC <br /> Number of SAC Units OTHER (specify) <br /> ZONINi G CHECK LIST Zoning District: 1./�' « Shoreland District : ti'c <br /> Fire Department: VkWc.+ 0 <br /> Post Office: School District: yVt s,j,-z <br /> Lot Area: Sq.ft. tob, Acres <br /> Width l (0 3.'L{( Depth <br /> Survey Submitted: Yes Dt <br /> No Date of Survey: <br /> Proposed Setbacks: , + t + <br /> Front (hek$): Y 7 Right Side: Com <br /> t <br /> Rear (Sueet): 200' k Left Side: <br /> Adjacent Structures: /k7St( Wetland: /U(A <br /> Building Height: f. Hgt. P.ak Hgt' <br /> Avg. Setback: <br /> Bluff Set ck: Lo Coverage: <br /> Existing Prop sed <br /> Hardcover: 0-"5' <br /> 75-250' <br /> 25)-500' <br /> 5 -1000' <br /> Hardcover Varianc Required:.. Yes No <br /> ate of Council proval: <br /> Grading: Staff Ap royal Dale: <br /> B Council A roval Date: <br /> Septic: Staff App val Date: <br /> Zoning File: 1 Re 01 tion: # Resolution Date <br /> REMARKS (iii house): <br /> 1 <br />