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CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �f-3�� F3 V4� �( ►�(� (Zov� <br /> PID: <br /> DESCRIPTION OF WORK: Kc C.l+e� l`?-C—�s dv2 t Z Q A�1-� S <br /> ----------------------------------------- <br /> ZONING REVIEW BY: N ( (/� DATE APPROVED: <br /> BUII.,DING REVIEW BY: DA'I'E APPROVED: Z- s-g8 <br /> FEES TO BE CHAI2GED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SUR`HARG c� Yes _� No WATER CONNECTTON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�ING CHECK LIST Zoning District: . <br /> Fire Department: Post Office: School District: <br /> Loc Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Leh Side: <br /> Adjacent Structures: Wetland: <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 Dis�ict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezisting 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 /> • 26 . <br />