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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY- <br /> ADDRESS OR LEGAL: 1300 WNE PLACC <br /> PID: <br /> DESCRIPTION OF WORK: ?x ocl- <br /> ZONING REVIE�4V BY: ---(�! DATE APPROVED: <br /> I,DING REVIEW BY: DATE APPROVED: /- 12- -7 <br /> B ------ ------- ---------------------------=---------------------�------- <br /> FEES TO BE CHARGED: Mist. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes v"' No SEWER CONNECTION <br /> STATE SURCHARGE Yes —�/ No WATERCONNECTION <br /> No PARKFEE <br /> INVESTIGATION FEE Yes Yes No ✓ S ETT INSPECTION <br /> SAC <br /> Number of SAC-Units------------------------------_____---OTHER (specify)------------------------ <br /> ZONL IG CHECK LIST Zoning District: AJ 0 Qu&y6C <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area; Sq.ft. <br /> Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Si <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: _ <br /> Y <br /> Grading: Staff Approval Date: B Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: T Resolution: # Resolution Date: <br /> Shoreland District: Lot Coverage; <br /> Av.g. Setback: Bluff Setbac <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> :1 "cover �+a_iaace "--wire <br /> d: of CouncUl Approval: <br /> R.ENL�S (inhouse): <br />