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s <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 900 AJ o 2 n-1 a t+0%w-- VOR w <br /> PID: <br /> DESCRIPTION OF WORK: Q cCSc <br /> ZONING REVIEW BY: DATE APPROVED: S - 2 Z •coo <br /> BUILDING REVIEW BY: DATE APPROVED: c •2 a -c�o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/ 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 /> ZONING CHECK LIST Zoning District: <br /> Fire Department: M ov,v 4 Post Office: /K o vey 0 School District: W&.5 rvN/cA <br /> Lot Area: Sq.ft. Nd cHnnSt Acres Width Depth <br /> Survey Submitted: Yes Oc No Date of Survey: 0tv f/Le <br /> Proposed Setbacks: <br /> Front(4mke): /`f 4 Right Side: /'10 <br /> Rear(Street): /?y r Left Side: /to f <br /> Adjacent Structures: /9 Wetland: IVI,4 <br /> Building Height: Def. Hgt. N/A Peak Hgt. N/ia <br /> Lot Coverage: !✓/A <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: -J <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS(in house): <br /> 7 <br />