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CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Yl N o rtlo�zn� �� ,pl1. . <br /> , PID: <br /> DESCRIPTION OF WORK: L�v'/� At-��-�z o� <br /> ZO.�Tl�Ti G REV�W BY: DATE APPROVED: 6-2 -03 <br /> BUILDING REVIEW BY: -- DATE APPROVED; � � � <br /> ��(A�p�ns5 w o c.✓.P. <sr� c.��c y s <br /> FEFS TO BE CHARGED: r Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAN REV�W Yes �' No SE'9VER CONNECITON <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: �Jv c��,rc,,�e <br /> Fire Department: � Post Ofhce: School District: - <br /> Lot Area: Sq�.ft. Acres � Width � Depth _ _ <br /> Survey Submitted: Yes � No Date of Survey: <br /> Progosed Setbacksi � <br /> Front(I.ake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: We and: . <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approvat Date: B : <br /> Zoning File: # Resolution:# Resolurion Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lflt Coverage: <br /> E�cisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: <br /> REMAItKS(in house): _ <br /> 7 <br />