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CHECK OFF LIST FOR ISSUANCE OF PEI2MITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: 136� �tr v. �r�rn <br /> PID: <br /> DESCRIPTION OF WORK: DcZ'!� <br /> ZO�TI�TG REVIEW BY: DATE APPROVED: io- z�'-o3 <br /> BUII.DING REVIEW BY: ,,,,,,,,_. DATE APPROVID: �o-�tY-0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAN REVIEW Yes r/ No SEWER COTfNECITON <br /> STATE SURCHARGE Yes � No WATE1tCONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: onr t�� c.-�-g 3 <br /> Proposed Setbacks: <br /> Front(I�ce): fd 3� � Right Side: �2.�� = <br /> Rear(S�reet): 23g� �' Left Side: �� � <br /> Adjacent Structures: — Wetland: <br /> Building Height: Def. Hgt. — Peak Hgt. <br /> Lot Coverage: a.I� <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. Setbac : ,.•/,� Bluff Setback: N/f►- Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' U.(C <br /> 500-1000' <br /> Hazdcover Variaace Required: Yes No�_ Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />