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CHECK 0�.� LIST FOR ISSU��iCE OF PERNITTS <br /> FOR OFFICE USE ONLY <br /> �1DDRESS OR LEGAL: 3S�c� �3A�1 s � /.ZP <br /> PID: <br /> DESCRIPTION OF WORK: LAyv�D .�1-Z"�R,�'���`' - <br /> ------------- � . <br /> ZONING REVIEW BY: DATE APPROVID: � ��-�-�s s <br /> BUII�DING REVIE`� BY: DATE APPROVED: N/i4 <br /> ----------------------------- <br /> FEES TO BE CHARGED: ����isc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pL�J ��W Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STI'E INSPECITON <br /> Number of SAC Units OTHER (specify) _ <br /> ---------------------------- <br /> ZONING CHECK LIST Zoning District: Shoreland District : <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. <br /> Acres Width Depth <br /> Survey Submitted: Yes No Date of ey: <br /> Proposed Setbacks <br /> Front ( e): Right S de: <br /> Rear (S r t): Len S� e: <br /> Adja nt tructures: Wetl d: <br /> Building H ght: ef. Hgt. Pe � <br /> Ave. Setb ck: <br /> Bluff Setba : t Coverage: <br /> Existing oposed <br /> Hardco er: 0- 5' <br /> 75 250' <br /> 25 -5 ' <br /> �00 <br /> H cover Variance Required: Yes :vo Dace of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By' <br /> Zoni.ng File: # Resolution: � Resolution Date: <br /> 17;EMARIKS (in house): <br />