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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> f A.DDRESS OR LEGAL: ��� ��o�u: /]2. <br /> PID: <br /> DESCRIPTION OF WORK: F�it,� r9l-c-�•1 �.,sT�-- , <br /> ZO.�i IG $EVIEW BY: DATE APPROVED: <br /> BUII�D�1G REV�W BY: ,/� �� DATEAPPROVID; _Z-Zf�-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes � No <br /> PLAl�t REVIEW Yes � No SEWER CONNEC"TION <br /> STATE SURCHARGE Yes No � WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: /U U C���� <br /> Fire Deparcment: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front(La.tie): Right Side: <br /> Rear (Street): Left Side: + <br /> Adjacent Structures: �Vetland! <br /> Buildin HeiQ t: Def. H t. Peak H tl <br /> g � g g �� <br /> I <br /> L,ot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # R�solution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Eusting � Proposed <br /> Hazdcover: 0-7�' I <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> i <br /> Hardcover Variance Required: Yes No 'j Date of Council Approval: <br /> I <br /> REI�IARKS (in house): I <br /> 7 <br />