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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i 3��: �;i�i:tl�+ �;�:.v. <br /> PID: _ <br /> DESCRIPTION OF WORK: ;��,� ;r»� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: f `? �" DATE APPROVED: `�' �� �� <br /> BUILDING REVIEW BY: ' ���� �' ti.._ DATE APPROVED: i;% Z� �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ,� No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CI3ECK LIST Zoning Districc: �r -��� <br /> Fire Department: /Vl.� �'�'� Post Office: ;Yw,;�rL�1 School District: ;,�,-� -����" <br /> Lot Area: Sq.ft. �t,� C�r�� Acres — Width — Depth — <br /> Survey Submitted: Yes pC No Date of Survey: (� 'L'7 '�� <br /> Proposed Setbacks: <br /> Front(L-,a�e�: Z`iu � �� Right Side: ��� <br /> Rear (S��eeE): `?� � 'k' Left Side: ��� <br /> Adjacent Structures: �T't��i-�c:Y� Wetland: N��� <br /> Building Height: Def. Hgt. C>.t� Peal:Hgt. (y ��t <br /> Lot Coverage: U�I� <br /> Grading: Staff Approval Date: /�J�/-�' By: Council Approval Date: <br /> Septic: Staff Approval Date: /`' �/`} By: - <br /> Zoning File: # �`� Resolution: !� - Resolution Date: ' <br /> Shoreland District: /VJ <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 /> 7 <br />