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, , . <br /> �HECK OFF i�IST FOR ISSUANCE OF PER.i�'IITS <br /> FOR OFFICE USE ONL�k� � S,��e p �,�e <br /> , �,.D)RESS OR LEGAL: <<7 U <br /> PID: <br /> DESCRLP'I'IO�i OF WORK: 1�tt.N s�'� <br /> ------------___ ------------- <br /> --------------------------------�------------- <br /> -- --- " DATE APPROVED: / � D� <br /> ZOYT�TG REVIE`V BY: �C .� , ��,o . <br /> � � DATE APPRO�JED: 7 . <br /> SUII�DING REVIE�Y BY: � � <br /> FEES TO BE CH.AI2GED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW � Yes —� No SE�VER CONNEC'ITON <br /> STATE SURCHARGE Yes �� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No STTEINSPECTION . <br /> Number of SAC•Units OTHER (specify) <br /> ---------------------------------- <br /> -------------------------------------- ' <br /> ZONI.��IG CI�CK LIST Zoning Districc . <br /> Fire Deparcment: Post.OfFice: _ School District: • ' <br /> / <br /> Lot Area: Sq.ft. 2��Z ���7 Acres �.� � Width � � De�„�j�CJ�.� <br /> ��-e <br /> p 1 `' <br /> Survey Submitted:� Yes No x Date of Survey: �� �' � � � �' <br /> Propos Setba ks: �� . I'� � � : <br /> Froat ake): ' 't Side: , <br /> � � ��� � <br /> {Street}: �V� t Side: <br /> ��` Wetland: <br /> Adjacent Struccures: ��' <br /> Builclin�Hei�t: Def, Hgt. N I-f'� Peak Hgt. <br /> Lot Coveraoe: � ����� <br /> Gradina: Scaff Approval Date: _ By: Council Approval Date: _ ' � <br /> Szptic: Staff Appcoval Date: �Y��� <br /> Zonin� File: � Resolutioa: � Resolutioa Date: 5 <br /> Shoreland District: Lot Coverage: <br /> Av�. Setback: Bluff Setback: <br /> E�.isting Proposed <br /> Hardcover: 0-75' - <br /> 75-250' - <br /> ti0-500' __ <br /> 500-1000' . •� �/� .7 <br /> K�.�d�over Va�iance Required: Yes No Date of Cot�ncil Approv�. <br /> F.E�L�S{in house): <br />