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> > <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ADDRESS OR LEGAL: �_�pa O��O�rFICE��SE�NL�Y� <br /> � <br /> PID: <br /> DESCRIPTION OF WORK: v� <br /> ------------------------------------------- ----------------------- -----____--_-------- ---- ----- <br /> ZONING REVIEW BY: '► -� DATE APPROVED: � `� <br /> BUILDING REVIEW BY: _ DATE APPROVED: aD n <br /> FEES TO BE CHARC�ED: Misc. Fees Calculated By: <br /> PERMIT Yes >( No <br /> PLAN REVIEW Yes No SEWER COMVECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No Pf1RK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------- - ------------------------------- <br /> ZONING CHECK L1ST Zoning District: � — $ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres �e a o2� Width � Depth <br /> Survey Submitted: Yes ,?� No Date of Sun�ey: � �fp C�3 <br /> Proposed Setbacks: C <br /> Front Q�ke�: Right Side: `�02 <br /> t ' <br /> Rear(Street): Left Side: g <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. o��p� Peak Hgt. c� � <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: #D�-n�4�3 Resolution: # O � Resolution Date: Ja B �3 <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: 1�i4 L o t C o � e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' L� <br /> 500-1000' <br /> Hardcover Variance Required: Yes ?( No Date of Council Approval: �o� D � <br /> REMARKS (in house): <br />