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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��� �' i ��� -z-�-�����,.�< ��c�' /C���-�-/, <br /> PID: 7 4< _ �,i �'_ _;( -7, // C� �Za''% <br /> DESCRIP'TION OF WORK: 'C -L��'��t���- -�`.L�"�1:�, � <br /> ---------------------- <br /> ZONING REVIEW BY: DATE APPROVED: (-�-4� <br /> BUII.DING REVIEW BY: DATE APPROVED: i-3-9� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes � No WATER COrfNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No �" SIT'E INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------- <br /> ZONING CHECK LIST Zoning District• ��� ��� Shoreland District : N <br /> Fire Department: (,.i A�-�y; Post O�ce: w AT-�Y�__ School District: w�-�-� <br /> Lot Area: Sq.ft. �U �. Acres Width �iv�-���-*C Depth <br /> � <br /> Survey Submitted: Yes � No Date of Survey: �"i�°> <br /> o n.r t=t� <br /> Proposed Setbacks: <br /> Front (L-�ej: ni (�r Right Side: N �r4 <br /> r <br /> Rear (Street): /2� � t Left Side: 8 S � <br /> Adjacent Structures: /4r�t-f�"'� Wetland: /'�(/�- <br /> Building Height: Def. Hgt. �•� Peak Hgt. ! <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> �r� 250-500' <br /> l 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: !i Resolution: # Resolution Date: <br /> REMARKS (in house): <br /> 26 <br />