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. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �`�-� �`� �-7'2�v� �--�-��'� <br /> PID: <br /> DESCRIPTION OF WORK: �-' Z ��L�� Cl C:(� �=�c.� � ,,,,r 47 c;v� ��5 � �- � � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY.• DATEAPPROTjED: (U(�C�/C% �, <br /> BUILDING REVIEW BY.• DATEAPPROVED: �b -�c. o t� <br /> FEES TO BE CHARGED: Misc. Fees Calczdated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SELVER CONNECTION <br /> STATE SURCHARGE Yes No / WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Nirmber ofSAC Units � OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Distr•ict: ��' I C� <br /> Fir•e Departirrent: Post Offrce: School District: <br /> Lot Area: Sg fi. Ac�-es G[�idth _ Depth <br /> Sarrvey Subr�zitted.• Yes�� No D te of Sa�rve�y: [U/ I�c'��p ' <br /> � �tv;sic� / <br /> Pr•oposed Setbacks: n��,� ; <br /> Fr•ont� �1 !� �igh�t Side: ��G� <br /> � 5 c.�1 ! <br /> Reai•�tree�t�: Z.[� l�,f�Side: � <br /> Adjacent Strzrctzu�es: � �rS � I�etland: 4� � <br /> Building f/eight: Def Hgt. � 2 � Peak Hgt. � 7 � <br /> lG <br /> Lot Coverage: � <br /> Grading: Staff'Appi•ova(Date: /VO C,eic�ve,(; /3v: Cour�cil Approval Date: <br /> Septic: Staff Appr•oval Date: /l///a By: <br /> Zoning File: # — Resolution: # — Reso/i�tion Date: � <br /> Shoreland Disti�ict� NICGVD Permit: <br /> Avg. Setback. p,��. BlL ff Setback: �J/�- Lot Cover•age: B,��(o _ <br /> Existing Proposed <br /> Hardcover: 0-7.i' <br /> %�-?��' -� <br /> 2�0-.i 00' `%C.> <br /> soo-loon� <br /> I-I�u•dcover I%aj•iance Reyuired: }es 1Vo �c Date of Coarncil App�•oval: <br /> REMARKS(in house): <br /> 33 <br />