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� • <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> IADDRESS OR LEGAL: —1 ZS VV. �'CRN �p�}c.,`, <br /> PID: <br /> DESCRIPTION OF WORK �}�� ! � v�1 �C c. <br /> -------------------------------------------- --------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: q- !1- u z <br /> B UILDING REVIEW BY: �,,,..�._ DATE APPROVED: g- �� o z <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNEC770N <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 District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o� No Date of Survey: <br /> Proposed Setbacks: <br /> Front (bc�e): S� 6�}• Right Side: �5•g <br /> Rear (Strpet): 1 3) .7 Left Side: i i y.� <br /> Adjacent Structures: /�-r-ru�u+-�..� Wetland: �/,q- <br /> Building Height: Def. Hgt. 2`'(� Peak Hgt. Z,g ` <br /> Lot Coverage: N (✓� <br /> Grading: Sra�Approval Date: — By: Council Approval Date: <br /> Septic: Staff,ipproval Date: " By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: � �S <br /> Avg.Setback. N��, Bluff Setback: � („�- Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' U•�� <br /> 500-1000' <br /> Hardcover Variance Required.• Yes No� Date of Council Approval.• <br /> REMARKS(in house): <br /> 32 <br />