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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 99 0 (j1 i c.c.° V► <br /> PID: <br /> DESCRIPTION OF WORK: PRI- G0.0(cc- <br /> ZONING <br /> T <br /> ZONTNi G REVIEW BY: c/Ol_cra*-44.—. DATE APPROVED: 9. 6-"1 <br /> BUILDING REVIEW BY: /C j DATE APPROVED: S - e -c <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/' 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: /V 0 c p <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Yes 04- No Date of Survey: of Pt Vim• <br /> Proposed Setbacks: <br /> Front ( : ( Sp` t Right Side: -1S <br /> Rear (Street): I 3S Left Side: 30. <br /> Adjacent Structures: 10 Wetland: 1 00' 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 /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: NO <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 />