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. <br /> 4 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 3v w. , A2v1---- tZ-oe o <br /> PID: <br /> DESCRIPTION OF WORK: ti �c..<< S--TA,(2s5 <br /> ZONING REVIEW BY: (- ---.c-r - DATE APPROVED: 0 -7 ► - 46 <br /> BUILDING REVIEW BY: �cX��,.. DATE APPROVED: 7 1 --ci <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes (- --- No SEWER CONNECTION <br /> STATE SURCHARGE Yes 6----- No WATER CONNECTION <br /> INVESTIGATION FEE Yes No (r PARK FEE <br /> SAC Yes No (— SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> i.. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (bake): /k1 n Right Side: l_0 <br /> 17 <br /> Rear (Street): ((,0 t } Left Side: t 5�2 <br /> 1v, n <br /> (1 \ Adjacent Structures: r4.r c J' Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> ;J 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 />