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C <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i 025 <br /> PID: <br /> DESCRIPTION OF WORK: nnLce�n Gkt-•�ry <br /> - ------------ ------ ----------------------------- ---- - - :----------------- <br /> ZONING REVIEW BY: (`3 DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: 1. 2 S S <br /> ------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No c,— SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: rDate <br /> School Dis 'ct: <br /> Lot Area: Sq Acres Depth <br /> Survey Submi ed Yes No Survey: <br /> Proposed Setb ks: <br /> Front Right Side: <br /> Rear(S eet): Left Side: <br /> Adjacen Struc res: W tland: <br /> Building Height: ef. H P ak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Alproval Da By: ouncil Approval Date <br /> Septic: Staff Ap oval Date: By: <br /> Zoning File: # Re lution: # Resolition Date: <br /> Shoreland Distri <br /> Avg. S back: Bluff S tback: Lot Coverage: <br /> Exist' Proposed <br /> Hardco oval <br /> 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 /> 7 <br />