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CHECg OFFLIST FOR ISSUANCE OFPERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: - � <br /> PID: <br /> DESCRIPTIONOFWORS.•�QtiV �j-/}vn,� <br /> ZOMNG REVIEW BY.• DATEAPPROVED: � C� <br /> BUILDINGREi�IEWBY.• DATEAPPROVED: t o•z <br /> 43-0� <br /> FEES TO BE CHARGED: Mzsc. Fees Calculated By: <br /> PERMIT Yes .� No <br /> P���E� YeS � N� SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> �C Yes No SITEINSPECTION <br /> IVumber of SAC Units , �"'�'2,�3.0 OTHER p fy) <br /> �-��- �g 6� (s eci <br /> A'r"rW c,�r.e�,{ <br /> : ZONING CHECg LIST Zoning District: � <br /> Fire Department: Post O�ce: <br /> School 13istrict. <br /> LotArea: Sq.ft. ���� Acres �� 5 � �) - ��r <br /> W'�th l V U / Depth `" Z� <br /> Survey Submitted.• Yes� No <br /> Date of Survey; <br /> Proposed Set . � - <br /> Fr � /-- <br /> Right Side: ��/ <br /> Re (Street): �� �.,.. <br /> Left Side: � _ <br /> Adjacent Structures: Wetland.• /�� . _. <br /> Building Height: Def.Hgt. Pe�H�.�� �� <br /> Lot Coverage: � -.� G�D <br /> Grading: Sta,fJ"Approval Date: By: Council Approval Date: / Z Z Q� <br /> � Septac: Sta,fJ"ApprovalDate: By. �G <br /> Zoning File;= #��� ?j7S Resolution: # � z?/(U� <br /> ______ Resolution Date: � <br /> Shoreland District: �T� �Q� 2$!� <br /> Avg.Setbacl�• MCW Permit: u � . <br /> Bluff Setback.• Lot Caverage: <br /> Existing Pro osed v �� <br /> Hardcover: 0-75' p <br /> 7S-Z50' -�'��� ���u <br /> 250-500' <br /> 500-1000' � <br /> Hardcover Trariance Required.• Yes No <br /> � Date of Council Approval: � Z�0� <br /> REMARKS(in house): <br /> 33 <br />