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�'' <br /> ,� 7t <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y Zf.; s ;;._ -c-�., C�,��r;�.;,.�; r„�,.•� <br /> PID: <br /> DESCRIPTION OF WORK: �rv�,n,,�,� �1.�,��,�..r.� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEVV BY: N 1►A DATE APPROVED: <br /> BUILDING REVIEW BY: ,._ ,�,, ' �,,�,,.� DATE APPROVED: `� - `�� `i la <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r✓' 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 CHECK LIST Zoning District: <br /> ,.. <br /> 0 <br /> Fire Dep ent: Post Off ce: Sct�ool istrict: <br /> Lot Area: S ft. Acres Width / Depth <br /> r <br /> Survey Su mitt d: Yes No Date of$�urvey: <br /> Proposed etback : / <br /> ont (L e): Right S de: <br /> ear (Street : Left Si e: <br /> djacent Stru tures: Wetland: <br /> Building eight: Def. t. Peak Hgt. <br /> Lot Cove age: <br /> Grading: Staff Approval D e: By: Council Approval ate: <br /> Septic: taff Approval Date: By: � <br /> Zoning F le: # Res lution: # Resolution Date: <br /> Shorelan District: <br /> vg. Setback: Bluff etback: <br /> Existi g Proposed �� <br /> ardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SOO-lOOO' '; <br /> t <br /> ardcover Variance Required: Yes No�_ Date of Council Approval: `� <br /> REM KS(in house): <br /> 10 <br />