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4 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: , U S G� ,� � ,/(74/ <br /> PID: o - 3 3f- <br /> DESCRIPTION <br /> fDESCRIPTION OF WORK: 4c <br /> ZONING REVIEW BY: r-S-4 <br /> DATE APPROVED: 4 2;2-`t <br /> BUILDING REVIEW BY: DATE APPROVED: ct -27-1c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RR-tom <br /> Fire Department: �t�: kA-tut:: Post Office: I.sr�. LL.t . School District: (1)(W Ai 0 <br /> Lot Area: Sq.ft. tU C( ooe Acres Width Depth <br /> Survey Submitted: Yesoma.. No Date of Survey: 30 �( b <br /> Proposed Setbacks: (. <br /> Front(1-alts): IL/ Right Side: 30' <br /> Rear (Street): 135 1 it. Left Side: t f <br /> Adjacent Structures: l� <br /> F}-1- A0 Wetland: +' <br /> Building Height: Def. Hgt. %J•l& Peak Hgt. ().t4 <br /> Lot Coverage: d �� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> ' Hardcover: 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 /> 10 <br />