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. �. <br /> CHECK OFF LIST FOR ISSUA��ICE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �- ��; �,u_:�v ��� <br /> PID: <br /> DESCRIPTION OF WORK: /��p; n�� <br /> ZO�tING REVIEW BY: � � .�,_._ DATE APPROVED: � -7��3 <br /> BUII.,DING REVLEW BY: % DATE APPROVED: � �7 -� 3 <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 /> ZO��G CHECK LIST zoning Districc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid�h Depth <br /> Survey Submitted: Yes�_ No Date of Survey: � -� �`'3 <br /> Proposed Setbacks: <br /> Front (�s): �37 Right Side: � Z7 � <br /> Rear (�eet): �7 ?� Left Side: � `�y� � <br /> Adjacent Struc[ures: �!�-r�7�c�-�tiJ Wetland: �.i t/� <br /> Building Height: Def. Hgt. U. 1� Peak Hgt. <br /> Lot Covera�e: /ti i/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # �' Resolution: # Resolution Date: <br /> Shoreland District: /�,;; <br /> Av�. Setback:� Bluff Setback: L.ot Coverage: <br /> Existino 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 /> REiVIARKS (in house): �� <br /> 7 � <br />