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. . <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 L��- ;��, ;_� .,j_ � <br /> PID: �' ,f ,I 7 _ -�� 3 :� � G.� � S, <br /> DESCRIPTION OF WORK: �:� �k- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEV�J BY: -- DATE APPROVED: `-�- �v �i� <br /> BUILDING REVIEW BY: -" �'��' �� ��,�..-- DAT'E APPROVED: ��lo-`7� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes :/ No <br /> PLAN REVIEW Yes +/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ 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: !��'�-��� <br /> Fire Department: uu.�� U tG� Post Offce: �Nh �,4t,<.c� School District: U�'l.s;iyc <br /> Lot Area: Sq.ft. N� LI-!�!�Acres — Width � Depth — <br /> y <br /> Survey Submitted: Yes �- No Date of Survey: t � � Z�: � � <br /> Proposed Setbacks: <br /> Front (�e): ���� Right Side: i S� '�' <br /> �(11�0� V�S�L <br /> Rear (�reet): !l-��� Left Side: '7v' �t �� ���„��.�,1�� <br /> Adjacent Structures: �4-�c�(t-r�' Wetland: �t,;� <br /> Building Height: Def. Hgt. /✓(/F Peak Hgt. <br /> Lot Coverage: �'� I�. <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> v�+- Shoreland District: <br /> � Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SOO-lOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />