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�' <br /> . <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�`l,v f�� S� �—l' <br /> PID: <br /> DESCRIPTION OF WORK: c„>�,v,��,,.,, t2..c�r-����vv-�-�` F S!-1i��� r� G�i4-�'1�i�� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEV�J BY: � +/� DATE APPROVED: j- (u �'�: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------ ----------------------------------------------------------- <br /> ZONING CH�+CK LIST Zoning District: <br /> Fire Dep ent: Post Offce: School Di�dtrict: <br /> ,, <br /> Lot Area: q ft. Acres� Width � Dept <br /> � � <br /> Survey Submi ed: Yes i No Date of Survey(�'� <br /> i � <br /> Proposed Setb s: � <br /> Front L e): I Right Side: <br /> � <br /> Rear (�tree : � Left Side: i <br /> �� I <br /> Adjacey'ht Stru ures: ' We;iland: ;� <br /> �� i <br /> Building Height;, Def. H�. � Pea�c Hgt. ! <br /> i <br /> Lot Coverage: \ <br /> Grading: Staff�Approval Date• � y: Council A ate: <br /> ( � � <br /> Septic: Staff � proval Date: � � By: <br /> Zoning File: # ', Resplution: # Resolution Date: <br /> Shoreland Dist ict: � <br /> Avg. etback: � Bluff Setback: <br /> Existing Proposed <br /> Hardc ver: 0-75' �� � <br /> 75-250' 1, �; �; <br /> 250-500' � � � <br /> 500-1000' ��'; 1 <br /> � <br /> ,�'I <br /> Hard over Variance Required:11.Yes No Date of Council Approval: <br /> f ` <br /> REMARKS (in house): <br /> 10 <br />