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+�► CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2,h�s �;�,;,,,� ,,� —,,,, _ �)`, <br /> PID: <br /> DESCRIPTION OF WORK: i� � �r�.l-�:_ y.},��, � ���� <br /> , ------------------------------------ ----- <br /> ZO.�IYi G REVIEW BY: DATE APPROVED: �-L ��'y <br /> BUILDING REV�W BY: s_ ,� - �,�.- _ DATE APPROVED; 4-� � Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECITON <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 /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. t�cres � Width Depth <br /> Survey Submitted: Yes oc No Date of Survey: c� ;_��: <br /> Proposed Setbacks: � <br /> Front(L.Rict}: i L U ' � Right Side: �r`��' <br /> Rear (Street): z 5 a� + Left Side: � Z�% <br /> Adjacent Structures: � , , ,-,.�/�,�� Wetland: �� r,�- <br /> Building Height: Def. Hgt. __�Jo C��r.�,p Peal:Hgt. — <br /> Lot Coverage: f�X� C�-,:..�,-�.r...,Q <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: ,�i)(� <br /> t#vg, Setback: Bluff Setback: I.ot Coverage: <br /> Ezisting 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 /> REMARKS(in house): <br /> 7 <br />