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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -1 g 1 N. �=�Rrv A r� c.� <br /> PID: <br /> DESCRIPTION OF WORK: (�c,o1 6A-rN l-�-o�se <br /> ZOYI�i TG REV�W BY: DATE APPROVED: �- -Z,3-c90 <br /> BUILDING REV�W BY: � DATE APPROVED: S- z 3-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes c/ No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lo[Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: (�r �i�.2 <br /> Proposed Setbacks: <br /> Front(�ake): Z.�o� �' Right Side: ��i <br /> � <br /> Rear (�trectj: 5 S � �' Left Side: Zo� t <br /> Adjacent Structures: /� � 1/�J � Wetland: � <br /> Buildin; Height: Def. Hgt. �� � Peal:Hgt. <br /> Lot Coverage: — <br /> Gradirig: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing 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 /> RENiARKS (in house): <br /> 7 <br />