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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: q 90 Lot L 4.-0(A)v t e-w OR <br /> PID: <br /> DESCRIPTION OF WORK: Poo 1 <br /> ZONING REVIEW BY: 41./ 1 DATE APPROVED: - 6-01 <br /> BUILDING REVIEW BY: I if DATE APPROVED: 9-c. -v l <br /> i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓- No <br /> PLAN REVIEW Yes c/' 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 /> 0 <br /> N <br /> 1 Fire Department: Post Office: School District: <br /> V Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes pc. No Date of Survey: 490.J (::1(_ <br /> Proposed Setbacks: <br /> Front(bake): (14. Right Side: i 5 <br /> Rear (Sweet): l 3f51 ± Left Side: 1 'S <br /> Adjacent Structures: Z_D' Wetland: v vv f 't' <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: P42 <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 />