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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFF CE USE QNLY . <br /> - -r� <br /> ADDRESS OR LEGAL: /� S �s � � �'�G:�z� <br /> PID• i- ���- � 3 3 � D4�' <br /> DESCRIPTION OF WORK: `����:�� ���: �� ' <br /> ------------------------------- ------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �1 - � - � � <br /> BUII.,DING REVIEW BY: DATE APPROVED: 9 - Y - S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/" No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SUR�HARGE Yes t/ No WATER CONNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoni.ng District: /12- ll`} <br /> Fire Department: ,�v�r�,pl� l�i/��,�•� PostOffice: ��C V}i^� School District: [��Np <br /> � Lot Area: Sq.ft. /(�v Gf#AnJ��Acres Width Depth <br /> Survey Submitted: Yes x No Date of Survey: p� r,(�.:, <br /> Proposed Setbacks: � <br /> Front (�ttke): ��{ � Right Side: �ZtS � <br /> Rear (S�e�t): Z�d� �' Left Side: SQ� <br /> Adjacent Structures: A-t�w��tc..� Wetland: N(�1 <br /> Building Height: Def. Hgt. C�. IL Pe�Hg�• C7�(� <br /> Lot Coverage: ��(�r <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: �# Resolution Date: <br /> Shoreland Dist:ict: <br /> � � Avg. Setback: Bluff Setback: Lot Coverage: <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 /> . 26 <br />