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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z.-1 k)u w +t b c\2C <br /> PID: <br /> DESCRIPTION OF WORK: AO v'4 'c z? (L034•` (— 6 4;)1 /?-014.c10 Z <br /> ZONING REVIEW BY: <br /> 4 DATE APPROVED: —9{ <br /> BUILDING REVIEW BY. /y DATE APPROVED: k <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes l/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ 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 Office: School District: <br /> Lot Area: Sq. Acres Width Depth <br /> Survey Submit e • Yes No Date of Survey: '\ <br /> Proposed Setb cks <br /> Front)(La e): Right Side: <br /> Rear;(Stree): Left Side: <br /> Adjacent Strictures: Wetland: <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 /> 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 /> 500-1.000' <br /> Hardcover Variance Required: Yes ,No Date of Council Approval: \ <br /> REMARKS (in house): <br /> 10 <br />