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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2-60 t W. t ,�a�=►°��e <br /> PID: <br /> DESCRIPTION OF WORK: ENrOonic—- /✓ v 5 <br /> ZONING REVIEW BY: I DATE APPROVED: g 25•S <br /> BUILDING REVIEW BY: !Mfg DATE APPROVED: o -z5-S S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ' No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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 /> o <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: p"., /=ic..c <br /> Proposed Setbacks: <br /> Front(Ie): S Right Side: 0./� <br /> Rear(Street): cp.lc. Left Side: <br /> Adjacent Structures: C>.)L Wetland: <br /> Building Height: Def. Hgt. 0‘K Peak Hgt. <br /> Lot Coverage: _ A/ /A <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: Lot Coverage: <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 /> 7 <br />