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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8 ZS Sc� • (��"�w►� ��A-✓� <br /> PID: <br /> DESCRIPTION OF WORK: �5 w ,�� ,n� c� �o o� <br /> --------------__—__--- ---_--_-----------------------------------------------S:---7:Q----- <br /> ZO_vI�ti G REVIE`V BY: (Q�_ DATE APPROVED: z 5 <br /> BUII.DING REV�tiV BY: DATE APPROVED: s•z � -�s <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZOi�TI�1G CH�CK LIST Zoning District: <br /> Fire Departmen[: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid[h Depth <br /> Survey Submitted: Yes _ (� No Date of Survey: dN ��u;, �Z•ZI -o�( <br /> Proposed Setbacks: <br /> Front (�cej: '-1 b 5 � Right Side: 3oh � f S <br /> Rear (Street): �-100� � Left Side: Z ZS � N <br /> Ad;acent Structures: 1 2.� Wetland: �� <br /> Building HeiGht: Def, Hgt. �.Y � � Peak Hgt. � <br /> Lot CoveraJe: /J 1 � <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zonin� F1e: # — Resolu[ion: # Resolution Date: <br /> Shoreland District: /uc� <br /> Av�. Se[back: Bluff Setback: I.ot Coverage: <br /> Eustin� Proposed <br /> a <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE`IARKS (in house): <br /> � <br />