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r . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � ,.��-(p ��� X 5�.�_ . <br /> PID: <br /> DESCRIPTION OF WORK p p 1_ (-'��n;�� <br /> ZONING REVIEW BY.• `tti�� � DATEAPPROT�ED:s z L� � � <br /> BUILDING I2Ei�IEi�'B : � DATEAPPRO i�ED: j Z _ -Z � _v1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW Yes ;� No SEYI�ER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No_1� FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> — _---____________ <br /> ZONING CHECK LIST Zoning District: � � � <br /> Fire Department: Post O�ce: School District.• <br /> Lot Area: Sq.ft. �„�, Acres�" � � � ' <br /> W'tdth � 7�� D <br /> Survey Submitted: Yes No� Date of Survey: <br /> � f/1C S � <br /> Proposed Setbaclr�: r � � � ����C�G� (?� �(� <br /> �- , � - � � <br /> Fr n 'ke): t Side: <br /> � � � Z`7U' -f/- � /� <br /> %� ar(Str et): �f'�Side: <br /> ` � �r <br /> � Ad' ent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: f'f �`-���/ � �°)C'� �'�(� , � <br /> Grading: StaffApproval Date: , _ By: Council Approval Date: � � �� <br /> �Septic: StaffApproval Date: � I� �� � gy. ��J <br /> Zoning File: -����/'�/ Resolution: #� Resolution Date: � <br /> � <br /> Shoreland District: M� VD Permit.� <br /> Avg. Setbac�t: BZuffSetback.• l v ' LotCoverage: <br /> F�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Ha�-dcover i�ariance Required: Yes Date of Council Approval.• <br /> x��Rxs���hous��: p��� �se --, ����� �_, � � �1 � -� �r�,1 � ., t �-, <br /> � `/ ��/ � � I�C, � /� C�1(• " 1/ " �� / <br /> 7 <br /> 33 <br />