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. <br /> . � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 l��t 0 ,�,L.�,ur�� /�v� <br /> PID: <br /> DESCRIPTION OF WORK: CoiZA�o�N� <br /> ZOtiTti G REVIEW BY: �i UAo^�� -W-- DATE APPROVED: �•�?-4'Qg <br /> BUII.DPi G REVIEW BY: DATE APPROVED; . <br /> FEES TO BE CHARGED: �' ��'^'� Misc. Fees Calculated By: <br /> PERNIIT Yes C No <br /> PLAN REVIEW . Yes No SEWFR CONNEC"TION <br /> STATE SURCHARGE Yes No WATFI2CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CS�CK LIST Zoning Districr. �tiv . <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: <br /> Front(Laice): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: We and: <br /> Building Height: Def. Hgt. Pe �Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # . Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> . Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARKS(in house): <br /> 7 <br />