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CHECK OFF LIST FOR ISSUAi�iCE OF PERMITS <br /> ' ' FOR OFFICE USE ONLY <br /> �iDDRESS OR LEGAL: <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ----------------------------- <br /> ZONING REVIEW BY: �� ?>� �>� DATE APPROVED: � — <br /> BUII,DING REVIEW BY: DATE APPROVED: -�r" <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 WATIIt CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECI'ION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------- — — -----------,------- <br /> ZOivING CHECK LIST Zoning District: �—' Shoreland District : <br /> Fire Department: �- ' (.t�f--�- Post Office: (.L�IG�' School District: �:� / ?�1�r''� <br /> , / / <br /> LotArea: Sq.ft. I�v ? F�Acres � Width r'�✓�", �`� Depth ;31� <br /> Survey Submitted: Yes l� No Date of Survey: .�"v���1� <br /> Proposed Setbacks: L�"'� � � / <br /> Front-��):l ` !� Right Side: <br /> .`�l;��'�'�; � � <br /> Rear (� ��� Left Side: � <br /> .� / <br /> Adj acent Structures:,��ra�'�� � Wetland: <br /> f .j �--- / <br /> Building Height: Def. Hgt. 1� Peak Hgt. I,% <br /> Av;. Setback: <br /> ����� 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 d Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: �# Resolution Date: <br /> �tF.MARKS (in house): <br />