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. <br /> . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1/Y C7 Gil�/-��:N Co„2 r <br /> PID: <br /> DESCRIPTION OF WORK: /V Ec,cJ /Z.t S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: `�- t - �z <br /> BUILDING REVIEW BY: DATE APPROVED: —t - � - ��-- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓- PARK FEE <br /> SAC Yes r/ No SITEINSPECTION <br /> Number of SAC Units .L OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHF,CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: fo- I°t- 02 <br /> Proposed Setbacks: <br /> Front (�cc�: t o'� �' Right Side: �p , 5 <br /> Rear (�reetj- I b�� "�= Left Side: �� •� <br /> Adjacent Structures: /� ��4 Wetland: 3�� '' <br /> Building Height: Def. Hgt. 2-1 Peak Hgt. � <br /> Lot Coverage: /�(1'� <br /> Grading: Staff Approval Date: 1 ' � ' �Z— By: �� • Council Approval Date: — <br /> Septic: Staff Approval Date: N � �F By: — <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: LJ� <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 /> REMARKS (in house): <br /> 7 <br />