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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �f,�_�''� `;� � ��!` a'' � �-" �� <br /> PID: <br /> DESCRIPTION OF WORK: 2 C? �� .�`� �(�;;�.�-r�.4���� 4���r��c� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONINGREVIEWBY.• �,��C{j/' DATEAPPROVED: 1U �a ` ��%' <br /> BUILDING REVIEW BY-'� DATEAPPROVED: � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculatec�By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> S7ATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Urrits � OTHER (specify) <br /> ----------------------------------------------------------------�------------------------------------------------------ <br /> ZONING CHECK LIST za�ing Districr: l. �'` ,� <br /> Fire Depar•tn�ent: Post Office: School Dish�ict: <br /> Lot.9r•ea: Sg.fi. Acr�es GYidth Depth <br /> Szu�vey Subtnitted: Yes_� N'o Date of Sarrvey: ��'�to' 7� <br /> Pr•oposed Seibacks: l _,��_ } ' <br /> Fr•onl (balre): [��{�1`hCI � 4'S�gkt Srde: I�� <br /> �� � � �� � <br /> Rear�Stxe�1�: �O ��.�,.� Ge�'t Side: <br /> Adjacent Str�irctcrres: � � Wetland: �`7r-' <br /> , i <br /> Beu(drng Height: Def. Hgt. l� Peak Hgt. � d <br /> �a;1. <br /> Lot Coverage: � �„ <br /> Grading: Staff Approva/Date: Bv: Council Approval Date: _ <br /> Septrc: Staff Approval Date: By: __ <br /> Zvnirig File: r Resoh�tion: # Resolutiar Dnte: <br /> Shoreland Disti•ict: NlCGf�D Perrrrit: <br /> �lYg. Setback: BlzffSetback: LotCoverage: __ _ <br /> Existrng Proposed <br /> Hai•dcover: 0-7.i' "" <br /> ?�-1�0' ...• <br /> 2.i 0-�00' � , 5 d <br /> �00-1000' -- <br /> 1-Inr•cicover �%ai�iance Requu�ed: }'es 1V�0 �Date of Council dpproval: <br /> REMARKS(in hoirse): <br /> 33 <br />