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CHECK OFF LIST FOR ISSUANCE OF PERt'VIITS <br /> FOR OFFICUUSE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: <br /> --------------------------------------------- <br /> ---------- <br /> ZONIi IG REVIEW BY: --------------- DATE APPROVED: 112,6101 <br /> BUILDING REVIEW BY: DATE APPROVED: 9 2? - c�`7 <br /> FEES To BE CHARGED:— ^/— Misc. Fees Calculated By: <br /> PEST Yes ✓ No <br /> CONNECTION <br /> PLAN REVIEW Yes - No SEWER <br /> � <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No v--*" SITEINSPECTION <br /> Number of SAC-Urdts OTHER (specify) <br /> ZONENG CHECK LIST Zoning District------C—LE-- -IL <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq-ft- Acres _ Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> GUQ� , . <br /> Proposed Setbacks`. j2�bi�c1C ry� <br /> Front(fie): &—h(od -R�Side: <br /> P*51,(h bVildinq <br /> Rear (Street): Ctr/Jv V►'t�_ Left Side: uu MIA <br /> Jl� M IV1 " I 17A <br /> Adjacent Structures: /0 Wetland: <br /> Building Height: Def. Hgt. 0 X Peak Hgt. <br /> O <br /> Lot Coverage: _ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> ) Resolution <br /> Zoning File: " �7' 51315 Resolution: # Resolution Date: Z`� Q 7 ��56 Cc)l� <br /> 2vt S/uv7 <br /> Shoreland District: 70 cuat�'�' Lot Coverage: <br /> Avg. Setback: Bluff Setback: <br /> E-fisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' . <br /> 500-1000' <br /> Yes do Daze of Council ApprovP): <br /> 1-i�.rdco`�er Va.-ianc,.�P.e�,uir..d: es - <br /> REAL--�R S (inhouse): /�f2SC✓v��/1�i l�ly - �2 5�� X42!14 S� <br />