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CHECK OFF LIST FOR ISSUANCE OF PERIINIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: O 6 T��- z� <br /> PID: ')Y-- //7 - ,) 3 -39 o6c3 <br /> DESCRIPTION OF WORK:, <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARG c. Yes No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L-9-1 A <br /> Fire Department: (,oN6 (AII.iE Post Office: CC�Nco (AVC School District: oR.PNO <br /> Lot Area: Sq.ft.NO QVAA4 s Acres Width Depth <br /> Survey Submitted: Yes X No Date of Survey: 6 <br /> Proposed Setbacks: I 1 <br /> Frenr(Lake): Z-7 — Right Side: 197 <br /> Rear (Street): <br /> /ZS Leh Side: S 3 <br /> Adjacent Structures: -'= Wetland: /u/✓-1 <br /> Building Height: Def. Hgt. tj I Pr Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist.-ict: <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 /> 26 <br />