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. ✓ <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _���� N c�tZ i N 5N o 2E p�2 <br /> PID: <br /> DESCRIPTION OF WORK: SV�1 (ZOOt/►'� <br /> ---------------------------------------- ------------------------------------------------------------------------------ <br /> ZONING REVIEV�J BY: �,`, DATE APPROVED: i(�- I�(- `t� <br /> BUILDING REVIEW BY: ,,,_ DATE APPROVED: �c,-��{- �,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTTON <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 /> ZONING CHECK LIST Zoning District: �,Q.- l� <br /> Fire Department: Vv10v�v Q Post Offce: ✓In ou rv � School District: v���T D rlJK�1- <br /> Lot Area: Sq.ft. ��� �o a Acres yZ�.•S ` Width 5"� Depth ZD n <br /> Survey Submitted: Yes_ C� No Date of Survey: l l '2�r-`3� <br /> Proposed Setbacks: <br /> Front (�a�ke}: (�(� � i= Right Side: l(� � <br /> � � <br /> Rear (Strcet): l 2� � Left Side: �(� <br /> Adjacent Structures: 1/�'(�T"PkC N E Y� Wetland: <br /> Building Height: Def. Hgt. �•��- Peak Hgt. D���-- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � Zoning File: # Resolution: # Resolution Date: <br /> b <br /> ���� 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 />