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I . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 1�BS t=o x s-. � <br /> PID: <br /> DESCRIPTIONOFWORK: ���,qNc¢ �w,,o�� ,,,�t,�r,-rs <br /> ZOtiT�1i G REVTEW BY: DATE APPROVED: q- �s -�3 <br /> BUII.D�tG REVIEW BY: DAT'E APPROVED: 4 _ � s -�.7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER.�ViIT Yes �/' No <br /> PLAl� REVIEW Yes `� No SEWER CONNECTIOI�i <br /> STATE SURCHARGE Yes �/ No WATF.RCONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOivING CHE.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: <br /> Proposed Setbacks: � <br /> Fron[(�): 5 Right Side: <br /> Rear (Street): �— Left Side: <br /> Adjacen[ Structures: --- �Vetland: S <br /> Building Hei;ht: Def. Hgt. � ' Peal:Hgt. <br /> Lot Covera�e: f <br /> Gradino: Staff Approval Date: �" By: Council Approval Date: <br /> Septic: Stafi Approval Date: — By: <br /> ,� <br /> �. _ <br /> Zoning File: � � �— Resolution: # c- �."� Resolution Date: `;+ '? ��-' �' <br /> Shoreland Dis[rict: n/v <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council App:oval: <br /> REI�iARhS (in house): �. <br /> � . . <br />