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� . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /��j 0 C,c9�tIG ��« (�C.V J <br /> PID: <br /> DESCRIPTION OF WORK: ���pt T'�O� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEV6T BY: DATE APPROVED: � �-� `��= <br /> BUILDING REVIEW BY: DATEAPPROVED: -� 3� `� �= <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 CONNECTION <br /> INVESTIGATION FEE Yes No r� PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L�.'-1� <br /> Fire Department: �_o��%c �;�; Post Offce: r.�:.�:� ����.� School Districr. ;_�f;��.a: <br /> Lot Area: Sq.ft. 3�.;�t�o Acres Width Depth <br /> Survey Submitted: Yes �_ No Date of Survey: / � S-S_3 <br /> Proposed Setbacks: , <br /> Front (�): 3�.; Right Side: ' <br /> Rear (St'r�t): �� � Left Side: � �. �'� <br /> � <br /> Adjacent Structures: �+��-<�--�` Wetland: N \� <br /> Building Height: Def. Hgt. c�`%, {C. Peak Hgt. � _(`_. <br /> Lot Coverage: �% ��', <br /> Grading: Staff Approval Date: �i (i`� By: Council Approval Date: <br /> Septic: Staff Approval Date: Tl-� ��� BY� <br /> Zoning File: # Zt�l� Resolution: {� Resolution Date: (v ��Y- �f Co <br /> Shoreland District: L-=� �� <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SOO-lOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />