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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �2�( l S o. 3 2 ow N <br /> PID: <br /> DESCRIPTION OF WORK: ��r. C�r4cz,,A��, <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: C�C�_ DATE APPROVED: G- � 7•d z <br /> BUILDING REVIEW BY: DATE APPROVED: �-��•� L <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO�TING CHECK LIST Zoning District: Q��-�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes i/ No Date of Survey: <br /> Proposed Setbacks: <br /> Fre�r(-�e):�'�,w.rr ��3 Right Side: S� <br /> Raa�fFitrc-ee): (�rjlC. �ot� Left Side: 1 U� <br /> Adjacent Structures: �ts ` Wetland: /v I/� <br /> Building Height: Def. Hgt. 0�k Peak Hgt. V i �L <br /> Lot Coverage: O��_ <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # n� -2�zz- Resolution: # 4�33 Resolution Date: i 2-�o-2 00 � <br /> Shoreland District: N � <br /> Avg. Setback: 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 Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />