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� CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: �S C����`.ti V,���,�, ,��� � <br /> , <br /> PID: �, �� - . .i �> <br /> DESCRIl'TION OF WORK: ��_ <br /> ---------------------------------- <br /> - ---------------------- <br /> ZONING REV�tiV BY: � .. DATE APPROVED: `]- � -4�G <br /> BUILDING REVIEW BY: s �...c..:_ DATE APPROVED: �� - � - +�;��, <br /> ------------------------------------ <br /> FEES TO BE CHA.RGED: Misc. �ees Calculated By: <br /> PERMIT Yes ��'' No ' <br /> PLAN REV�W Yes _� No SEW�Z CO�INECTION <br /> STATE SUR`HARG� Yes ::� No WATER CO�NECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------- ----- <br /> ZONING CHECK LIST Zoning District: !I(�-fC <br /> ���2. Fire Department: Post O�ce: School District: <br /> ��1 <br /> L Lot Area: Sq.ft. Acres `Vidth Depth <br /> Survey Submitted: Yes_� No Date of Survey: �,� (��� <br /> Proposed Setbacks: <br /> Front (L�ace): I ��i ± Right Side: -?i� ± <br /> Rear E&��eet): 3��` � � Left Side: �(U ` _f <br /> Adjacent Structures: /4-���:� �Vetland: �t,� (/} <br /> Building Height: Def. Hgt. �t/{ Peak H�t. <br /> 0 <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; <br /> Zoni.ng File: # Resolution: # Resolution Date: <br /> �� Shoreland Dis�ict: � <br /> � Avg. Setback: Bluff Setback: I.ot Covera�e: <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 Approval: <br /> , <br /> RE11�ZA.RKS (in house): <br /> x <br /> , • � 26 . <br />