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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: j��� �,�: ��;nr� �('` <br /> PID: � <br /> DESCRIPTION OF WORK: •-u� s�z��'Lw� (1 s1-��e.� R-�:�'��v> ,��� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �-�f,,�Q �_ DATE APPROVED: � � `t�' <br /> BUILDING REVIEW BY:� � ! DATE APPROVED: � � -�� <br /> F`EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,,/' No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes f/" No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZOl�ING CHECK LIST Zoning District: �I�� l�5 <br /> Fire Department: �Vu,�.�.v�y� Post Office: �Y�u.,� School District: ;,�s�-�7�3,.it�..�. <br /> Lot Area: Sq.ft. 1�1�31� Acres Ct�'�"�� Width r Z � Depth f 5� <br /> Survey Submitted: Yes_� No Date of Survey: S—�� 7 L <br /> Proposed Setbacks: <br /> Front (�aicc): ,y"�� Right Side: $L�\ <br /> Rear (Stseet): ��i Left Side: ZZ � S��T s�� <br /> Adjacent Structures: /}TS��Nc'.�'� Wetland: /lf i/`1 <br /> Building Height: Def. Hgt. Peal: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 /> P ' <br /> N� Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 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 /> 7 <br />