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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I S�Zc� F o X s-t'(1,c—ET <br /> PID: <br /> DESCRIPTION OF WORK: �q d�i�oiv <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEVS� BY: DATE APPROVED: 6-/(�-5� <br /> BUILDING REVIEW BY: DAT'E APPROVED: (�-/v•9� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /?/Z-1� <br /> Fire Department: n, �i4-� Post Offce: (�-i�C: School District: p�Z.t�o <br /> Lot Area: Sq.ft. Acres Z•25 1 Width t 2�tG��-�tR Depth — <br /> Survey Submitted: Yes X. No Date of Survey: (2 —�!o <br /> Proposed Setbacks: <br /> Front (�e): 1�15 � Right Side: !7�� �= <br /> Rear (Street): ZZS� Left Side: (�.y w <br /> Adjacent Structures: A'T'r��-D Wetland: N� <br /> Building Height: Def. Hgt. C9 •IL. Peak Hgt. (�.�c• <br /> Lot Coverage: hl �A <br /> Grading: Staff Approval Date: �-�0-y10•lL By:�4 • Council Approval Date: <br /> Septic: Staff Approval Date: N�f� By: <br /> Zoning File: # Z Z3 Z Resolution: # Resolution Date: Z� i � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> ' n Existing Proposed <br /> ,�1,1� Hardcover: 0-75' <br /> �� 75-250' <br /> 250-500' <br /> SJO-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />