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. . <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '�55 k-1 V NT ��R►n� fZ(J <br /> PID: <br /> DESCRIPTION OF WORK: ��c <br /> ---------------------------------------------------- ------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �-�3-i� <br /> BUILDING REVIEW BY: DATE APPROVED: `• � 3-5 G <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 CONNECTTON <br /> INVESTIGATION FEE Yes No 1� PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ______---------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: (l,R-1(� <br /> Fire Department: os O�ce: Sc o:D' ric • <br /> � <br /> Lot Area: Sq.fr. id 1e�th <br /> Survey Submitted: Yes�_ No Date of Survey: 0 N r�lJc <br /> Proposed Setbacks: <br /> Front(baice): N(Y� Right Side: t 2 V <br /> Rear(S�reet): �'0� Left Side: /J�f� <br /> Adjacent Structures: A'7T�a�+P� Wetland: iV �19� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> ��,� Avg. Setback: Bluff Setback: <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 /> 10 <br />