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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: /� S 3 L=Z�,.��.m, �P �}-.�-v <br /> PID: <br /> DESCRIPTIO�T OF WORK: ,(Z4su i s� 1= t�u d R sv s�—'�^--. <br /> ZOrZ�tG REVIEW BY: ,V DATE APPROVED: <br /> BUII..DING REVIE`V BY: DATE APPROVED; �v-t$-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c� No <br /> PLAN REVIE� Yes No c� SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �/� C E�yS� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lzke): Right Side: <br /> Rear (Street): I,eft Side: <br /> Adjacent Structures: Wetlan : <br /> Building Hei;h[: Def. Hgt. Peal:H t. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # solution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.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 />