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CBECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE <br /> ONLY- <br /> ADDRESS OR LEGAL: SOa ToNtcAwVk tzoA✓J <br /> PID: <br /> DESCRIP'T'ION OF WORK--- «-ch ------------------- <br /> - ---------------------- <br /> yy BY: DATE APPROVED:N }� <br /> ZONTvi G DATE APPROVED: 3- (- 0'7 <br /> BUILDING REVIEW BY: <br /> FEES TO BE CHARGED: _ Misc. Fees Calculated By: <br /> PEST Yes ,/' No SEWER CONNECTION <br /> PLAN REVIEW Yes ✓ No <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <br /> TION FEE Yes No _/ PARK FEE <br /> INVESTIGATION No , ,/ SITEMSPECTION <br /> SAC Yes <br /> Number of SAC'Units OTHER (specify) <br /> -------------------------------------------------------o —NANG- ------------------------------------------- <br /> ZONING CHECKLIST Zoning District: N <br /> ' <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq& Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacke <br /> Front(L ) <br /> Right Side <br /> I <br /> Rear(Street): Left Side <br /> Adjacent Structures: <br /> Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By-, Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoaing File: F Resolution: Resolution Date: <br /> Shoreland District: Lot Coverage: <br /> Avg. Setback: Bluff Set ack: <br /> Eusting Proposed <br /> Ha:dcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-l OC�J' <br /> a'�Cvter tr' i?iC' TJX^yltCeC: :e5 <br /> art of(niinci' An�"7VZ: <br /> r r.. <br /> F. S (in house): <br />