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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE O�TLY <br /> ADDRESS OR LEGAL: (.; � ��� ;.;•�;;'��.�� ���--��.,z. <br /> PID: " ,�i, . �l� ,�3 �f c�/ !>(I 4�. <br /> DESCRIPTION OF WORK: --: % ����,�-�� �� f' `�• <br /> , <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: — DATE APPRO`�D: �- - '?`� `i � <br /> BUILDING REVIEW BY: rv i�- DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECT'ION <br /> STATE SUR:HARG� Yes �/ No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �'��� <br /> Fire Department: t,�., ,�-.��,� �T Post Office: �.,�.•��zF-3''✓? School District: �-'�'�l"z`1�"'r <br /> Lot Area: Sq.fr. rw Grf►`ai� Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: `�'2�- �' � <br /> Proposed Setbacks: � <br /> Front (bai�a): r�'`� Right Side: f`� <br /> J Left Side: f �= � <br /> Rear (S�reetj: �7 � <br /> Adjacent Structures: i U` �'' Wetland: ��( �'} <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> �, Grading: Staff Approval Date: By: Council Approval Date: <br /> � <br /> ;' Septic: Staff Approval Date: By: <br /> � <br /> jZoning File: # Resolution: # Resolution Date: <br /> � `7 <br /> � Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />