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' � CHECb: OFF LIST FOR ISSUA.NCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEG i,L: q �05 Eb 6�`^-""'✓� �-�� lIS 120�-0 <br /> PID: <br /> DESCRIPZTION OF WOR.b: �C.�c��1 0 2G i� <br /> ZONILtiG REVIEW BY: � -- DATE APPROVED: 6- 3- 5L <br /> BULLDING REVIE��' BY: DATE APPROVED: � • 3 -y` <br /> FEES TO BE CH�RGED: Misc. Fees Calculated By: <br /> PER'v1IT Yes +� �o <br /> P�N ��� Yes � No SEWER CONNECTIOti <br /> STATE SL�RCHARGE Yes �/ Na WAZ'ER CONNECTION <br /> INVESTIGATION FEE Yes No �- PARK FEE <br /> SAC Yes No —�" SITE INSPECTION <br /> Number of SAC Units _. OTHER (specify) <br /> -- ----- ---------------- <br /> ZONING CHECK LIST Zoning Disu-icr. ��-- �� Shoreland District : I�f Ca <br /> Fire Department: <br /> Post O�ce: School District: <br /> �b L,ot Area: Sq.ft. Acres Width DeP� <br /> Survey Submitted: Yes � <br /> No Date of Survey: O� r��� ��' �7 <br /> Proposed Setbacks: � <br /> Fronc (�.-aice): �� �' Right Side: '2�1 � C' <br /> Rear (S�eet): /l!�/� Left Side: �j`�'�= w <br /> Adjacent Strucrures: �T�7��1�� Wetland: 1��� <br /> Buildin� Height: Def. Hgt. C�- ��- Peak H�t. <br /> Avg. Setback: <br /> Bluff Setback: L.ot Coverage: <br /> Ezisti.ng Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> � � Date of Council Approval: _________ <br /> Hardcover Variance Reauired: Yes 1 0 <br /> � g Council Approval Da[e: <br /> Gradin�: Staff �pproval Date: Y� <br /> Sepuc: Staff Approval Date: BY� <br /> Zonin� File: n Resolution_ # Resolution Date: <br /> RF'MARKS (in house): <br />