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� � <br /> CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �yl� C I-1 E2�ZY �L�C� <br /> PID: <br /> DESCRIPTION OF WORK: � c,lc <br /> ZO�TING REVIEW BY: DATE APPROVED: �/•��/-03 <br /> BUILDING REVIEW BY: DATE APPROVED: Y Z Y -0 3 <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r�' No <br /> pLAN REVIEW Yes �/' No SEWF�t CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------- <br /> ZOti�1G CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid[h Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (�e�: I i b� � Right Side: 3 2-� y <br /> Rear (S[reet): 1 p�' � Left Side: �� � <br /> Adjacent Structures: — Wetland: — <br /> Building Hei�ht: Def. Hgt. � Peak Hgt.— <br /> Lot Covera�e: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By� <br /> Zoning File: # — Resolution: # Resolution Date: . . <br /> Shoreland District: 4�� <br /> Av�. Setback:n� Bluff Setback: �J //} L.otCoverage: — <br /> Existin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' Z 3•� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No K- Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />