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' '� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' . FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: I �v v t-t-e,rt�-,-x�6c v4r� <br /> PID: <br /> DESCRIPTION OF`VORK: ��/�--c� r�-��� ���5 <br /> -------------- <br /> Z0�1ING REVIEW BY: DATE APPROVED: y—Z S-n3 <br /> BUILDING REV�W BY: DAT'E APPROVED: Y-zS-0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes </' No <br /> pLAl�1 REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZOtiTvi G CHECK LIST zoning Disuicc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: i 2�3n-D43 �n.� r=��' <br /> Proposed Setbacks: � � <br /> Front (L�: �� f Right Side: / � t <br /> Rear (&�eet): ZO� t Left Side: `{`�'3 <br /> Adjacent Structures: A;7��+t-�Y Wetland: /�/� <br /> Building Height: Def. Hgt. — Peal:Hgt. — <br /> Lot Covera�e: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: —' By: <br /> Zonin� File: # - Resolution: {t Resolution Date: <br /> Shoreland District: � <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1d00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REviARKS (in house): <br /> 7 <br />