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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: e;'-utPID: <br /> DESCRIPTION OF WORK: 1 eivAp'7 sP4C /iNLsN <br /> ZO\ZNG REVIEW BY: M DATE APPROVED: <br /> BU[LDING REVIEW BY: DATE APPROVED: i -2g-f4, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ' No <br /> PLAN REVIEW Yes `lo - SEWER CONNECTIONSTATE SURCHARGE Yes � No WATER CONNEC:IION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STI"hINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONLNG CHECK LIST Zoning District: Shoreland District : <br /> Fire Department: <br /> Post 0 ce: Schos District: <br /> Lot Area: Sq. . Acres idth Depth <br /> Survey Sub to s: Yes No Date of S ey: <br /> Proposed Se sac.•.: <br /> Fro t (L 'e): Right Side: <br /> Ret (Str--t): Left Side: <br /> A i jacent ructures: \ etland: <br /> Q <br /> Building ' eight: D i. Hgt. 'eak tet. <br /> Avg. Se sack: =luff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardco er: 0-75 <br /> 75-25 <br /> 250-5c0' <br /> 500-1110' <br /> Hars cover Variance Req fired Yes No Date of Council Approval: <br /> G ding: Staff Approval Dat-: By: Council Approval Dar <br /> S-stic: Staff Approval Da - By: <br /> Zoning File: # Resoi tion:'# Resolution Date: <br /> REMARKS (in house): <br /> 26 <br />