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, ' CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 1`{(� i-II�L� i3`1Z('�-ti iJ+-r�L <br /> PID: <br /> DESCRIP'I'ION OF WORK: f��'"�,� , �n c;;/� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REV�W BY: �'' +1 A,ti,�._ DATE APPROVED: � l� `I� <br /> BUILDTi�tG REVIEW BY: ^ �' n �' i„�.,� DATE APPROVED: �v 1 e: `I`� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ;,/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION 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�� <br /> Fire Depar[ment: � L�L Post Office: C--�C� School District: �r'—r+'�? <br /> Lot Area: Sq.ft. L�i ►Cx� Acres . '�� Width Depth <br /> Survey Submitted: Yes ,L No Date of Survey: <br /> Proposed Setbacks: <br /> Front (L�ej: S 1 � Right Side: � <br /> Rear (&trcetj: i�(1� �= Left Side: r7 � � r <br /> Adjacent Structures: v477i��-��+`�'' �Vetland: r-(i�- <br /> Building Height: Def. Hgt. v��� Peal:Hgt. ` <br /> Lot Coverage: i;���- <br /> Grading: Staff Approval Date: N< <� By: ' Council Approval Date: ^ <br /> Septic: Staff Approval Date: tn% �.� By: � <br /> Zoning File: #. � •7 Resolution: # yG'a<-- Resolution Date: v <br /> Shoreland District: �J <br /> Avg. Setback: Bluff Setback: I.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 />