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4. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 9 0 W,l ov,3 O R\\,14 <br /> PID: <br /> DESCRIPTION OF WORK: Ft lz-C <br /> ZONING REVIEW BY: cf 0 DATE APPROVED: 3 •io <br /> BUILDING REVIEW BY: 1 5z <br /> ' , / DATE APPROVED: S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes i No WATER CONNECTION <br /> INVESTIGATION FEE Yes No c„..— PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units �( OTHER (specify) <br /> g <br /> _Au __-- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes '- No Date of Survey: 01,4 r-% <br /> Proposed Setbacks: <br /> Front(bake); -12 t Right Side: ►Z 1 .5 <br /> Rear(Street): 44C(01 ± Left Side: SO"; N <br /> Adjacent Structures: Al ( Wetland: — <br /> Building Height: Def. Hgt. q.k Peak Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: 6--85- . '2. By: C.9- Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /Uv <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 />