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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFIC E ONL�j <br /> ADDRESS OR LEGAL: �2 e rTv <br /> PID: <br /> DESCRIPTION OF WORK: Qc� <br /> - ` t ---------------------------------------------------------- <br /> ZONING REVIEW BY: � V DATE APPROVED: �(�—���7 <br /> BUII..DING REVIEW BY: � DATE APPROVED: �D —t —Q7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: , <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes No SEWER CONNEC"ITON <br /> STATE SUR�H?,RG� Yes No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No l-- PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> _ -----�------------------------------------- - <br /> ZONING CHECK LIST Zoning Districr. Z-- � . <br /> Fire Department: �� Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: <br /> Proposed Setbacks: � O / <br /> Front (J�f: .�� Right Side• <br /> Reaz(Sueet�: <br /> r Left Side: � <br /> Adjacent Structures: � Wedand: -� � <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Gradi.ng: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoaing File: # Resolution: # Resolution Date: <br /> Shoreland Dis�-ict: . <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Eusting Proposed <br /> Hardcover: 0-75' . <br /> 75-250, <br /> 250-500' � <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> . 26 � <br />