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CHECK OFF i�IST FOR ISSUANCE OF PERIYIITS <br /> FOR OFFICE ipJSE ONLX <br /> ADDRESS OR LEGAL: �� �` 'i� � ��-� � ��� <br /> PID: T ��t. 7���'�� <br /> DESCRIPT'ION OF WORK: �UE" � �''� t��'� <br /> --- ---------- ----------------- <br /> ----------------------------------------- --��- <br /> ZO.�i G REVIE`V BY: DATE APPROVED: � 2�1 4 <br /> BUILDING REVIEtiV BY: DAT'E APPROVED: s �'z.� - "'� <br /> ------------------------------------ <br /> F'EES TO BE CHARGED:^ �� Misc. Fees Calculated By: � <br /> PERMIT Yes "� No <br /> PLAN R.EVIEW � Yes <br /> ✓ No SEWER CONNEC I'ION "' <br /> STATE SURCHARGE Yes �� No WATERCONNECTION --- <br /> INVESTIGATION FEE Yes No �/ PARK FEE � <br /> SAC Yes —� No SITEINSPECTION — <br /> Number of SAC�Uruts �_ OTHER (specify) � <br /> ---------------------- <br /> ZONI�IG CHE.CK LIST Zoni.ng District: �'. F��� �. <br /> Fire Department: L �' Post O�ce: ` L— School District: 0��� <br /> L.ot Area: Sq.ft. Acres <br /> Width .�S' $ , Depth ! � • <br /> Survey Submitted; Yes � No Date of Survey: j�Z '0 � <br /> Proposed Setbacks`. . � <br /> Froat (Lake): Right Side: ; � -� � <br /> ��..��t���� ��//�'�.S <br /> Rear(Street): Left Side: � 1/�— � �� <br /> �,�-v ��,� <br /> Adjacent Structures: Wetland: ' <br /> Builuin� Heioht: Def. Hgt. _ �L- _ Peal:Hgt. �'�� <br /> Lot Covera�e: r ` S�.t- � 3,y S�3c���3 <br /> � �at��6t�r_rt,�e. Pt�-�s <br /> Gradin Staff A roval Date: P��� ( F By: Council Approval Date: <br /> a: PP <br /> � �� <br /> Septic: Staff Approval Date: � ` ��� _ BY� t' �' <br /> Zoning File: n — Resolucion: � Resolu�ioa Date: �—' <br /> Shoreland Districc: �'l� +� � ,,.._. <br /> Avg. Setback: ---- Bluff Setback: Lot Covera�e: <br /> Etistino Proposed <br /> Hardcover: 0-75' �_ <br /> 75-250' --� <br /> 2�0-500' _� `': .� <br /> 500-1d00' �_. <br /> Hardcover Variance Required: Yes No� Da�e of Council Approval: � <br /> RE1�L4RKS (in house): <br />