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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (01434 "_o"IC�wO- <br /> PID: <br /> DESCRIPTION OF WORK: i J c w <br /> ZONA'G REVIEW BY: -IR U Alt.— DATE APPROVED: 9 Z 1-CEO <br /> BUILDING REVIEW BY: DATE APPROVED: - 2-1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No i STTEINSPECTION <br /> Number of SAC-Units c&4_tet r t.�t,�,,,, ,,,,�,� OTHER (specify) <br /> ZONENG CHECK LIST zoning District: t-/R-/-d <br /> Fire Department: ijew �r (mow Post Office: 4 Luh School District: <br /> Lot Area: Sq.ft. Acres Width Depth 31yo t <br /> Survey Submitted: Yes_V., No Date of Survey: 9- 7-1 -oma <br /> Proposed Setbacks: <br /> Fsftt(Lake): Ion� Right Side: [0 <br /> $ear(Street): 117 Left Side: lD <br /> Adjacent Structures: /J 1/a Wetland: <br /> Building Height: Def. Hat. 0 .I<- Peak Hat. 0•�— <br /> Lot Coverage: N (A- <br /> Grading: Staff Approval Date: 2q- 00 By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 2s'lR Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: \lAA%orr�o Bluff Setback: N //i Lot Coverage: <br /> Ezistin- Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' zy,Std <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): (N/1- S /l2'---f � 141 et- <br /> 7 <br /> 7 <br />