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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 7�o S �c��(L�p c�-2 <br /> PID: <br /> DESCRIPTION OF WORK: ���� .�.E� <br /> ZO�TII�TG REVIEW BY: �'✓�(f+ ~ �~ DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; � . Z;>—.v Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes _� No _� SEWER CONNECTION <br /> STATE SURCHARGE Yes _�� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SIT'EINSPECT'ION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CIi�CK LIST Zoning Districr. /'Uv Gl `'� . <br /> . . ����t U <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(I.ake): Right ide: <br /> Reaz(Sueet): Le Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. P �Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff etback: Lot Coverage: <br /> Exist Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes N Date of Council Approval: <br /> REI�ZARKS(in house): <br /> i <br />