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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: i TZo.-5 n.e <br /> ZON NT G REVIEW BY: DATE APPROVED: �3 - Qi•oy <br /> BUILDING REVIEW B DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <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.ft. 1 Kb,Y&� Acres 3.3 b Width Depth <br /> Survey Submitted: Yes No Date of Survey: 4, .36- <br /> Proposed Setbacks: <br /> Front(bele): Sy Right Side: 2,1'0 <br /> Rear(Street): 1 5b 2 Left Side: 36a <br /> Adjacent Structures: 1 o Wetland: Z4, <br /> Building Height: Def. Hgt. N C l r,!4e Peak Hat. -- <br /> Lot Coverage: N f 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: r.A! <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 />