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d <br /> �� � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> anDxFss oR r�G�.: �3�o �4Rbo2 -�! <br /> PID: <br /> DESCRIPTION OF WORK: S�/�� F w�� �� S <br /> ZONII�IG REY�W ��: N/ BA'FE APPR4VED: . <br /> BUII.DING REVIEW BY: DATE APPROVED: 'J"�!- �r s <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT • Yes �/°' No <br /> PLAN REVIEW Yes � No � WATF.R CONNECTTON <br /> STATE SURCHARGE Yes <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes� No � SITE INSPEC"ITON <br /> Number of SAC Units OT�R (specify) <br /> ZONING CHECK LIST Zoning District: Shoreland Disuict: <br /> Fire Department: Post OfFice: School Dist ' t: <br /> Lot Area: Sq.ft. Acres Wi th De th <br /> Survey Submitted• Yes o ace of Survey: <br /> Proposed Setbac <br /> Front ( e): 'ght Side: <br /> Reaz (S eet): ft Side: <br /> Adjace t Structures Wetland <br /> Building Heigb : Def. Hgt. Peak H . <br /> Avg. Setback: Bluff Se back: Lot Coverage: <br /> Existing Proposed _,_ -- <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover V 'ance Required: Yes No D e of Council Approval: <br /> Grading: St Approval Date: By: Conncil Approval Date: <br /> Sepdc: Staff pproval Date: By' , <br /> Zoning File: _— <br /> Resolution: # Resolution Date: <br /> P;��V�[AgI�S (in house): <br /> a,�� ti <br /> I <br /> 0 <br /> �, . <br />