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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ► °l 3 0 LJ • C"a442M,--- <br /> PID: <br /> DESCRIPTION OF WORK: Pp vt.. <br /> ZONING REVIEW BY: (Q9,,4,,v._. DATE APPROVED: 6- a(-cl <br /> BUILDING REVIEW BY: Af( DATE APPROVED: <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: <br /> Fire Department: Post Of „School District: <br /> L <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes � No Date of Survey: pr., (.,?C..E <br /> Proposed Setbacks: <br /> Front (bake): ('J (f� Right Side: 6 00 <br /> Rear (Stfeet): 90Left Side: (I Si <br /> Adjacent Structures: (O 'F Wetland: j J(4 <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> w` Zoning File: # Resolution: # Resolution Date: <br /> tShoreland 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 />