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J � � <br /> ,� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: z c s s rvo cz,r�+s�<t,c �O R � <br /> PID: <br /> DESCRIPTION OF WORK: �,Tc.�1�, �ZL,=�.,.oe,�..� , <br /> ZO�tG $EVIEW BY: I� DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; _3-6 •0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes _� No �/ SEWER COrtNEC"ITON <br /> STATE SURCHARGE Yes _/� No WATERCONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPEC'I'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONiNG CH�CK LIST Zoning District: IV'0 G��vG� <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq�.ft. Acres " idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(L.ake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Rcsolution: # Re olution Date: <br /> Shoreland Disuict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: - <br /> E���o 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 /> RENIARI�S (in house): <br /> 7 <br />