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CHECK OFF LIST FOR ISSUANCE OF PERI'1�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �� �� C:i�SCL �c.����% f"�'-'n'► � <br /> PID: <br /> DESCRIPTION OF WORK: � ��� <br /> ------------------------------------��-�----------- <br /> ZO�G REVIE`V BY: � ` � �,,_._ DAT'EAPPROVED• � `r yt� <br /> BUII�DING REVIEW BY: � --- DATE APPROVED: --� � <br /> FEES TO BE CHARGED: ��p, Misc. Fees Calculated By: <br /> PERNIIT Yes � �No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SUR`H�1RG� Yes No WATER CO�NECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L./>_ /G . <br /> Fire Department: Post Office: School District: <br /> rJ'r Lot Area: Sq.ft. Acres tiVidth Depth <br /> Survey Submi[ted: Yes No Date of Survey: �r.r i=ic� <br /> Proposed Setbacks: � <br /> Front (�e_ke): . :$� Right Side: �V 1/►- <br /> Rear (Street): .^�'//ti Left Side: N �� <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � <br /> � Zoning File: # Resolution: # Resolution Date: � . <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezistin; Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-Sd0' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> , <br /> gEI�Z.A,RKS (in house): — <br /> s � <br /> . �� 26 � <br />