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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 7(a O 002T�1�R+V r4\tL-: <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: -7-:M- J <br /> BUILDING REVIEW BY: DATE APPROVED:ft <br /> ,v(,•� <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 /> ZONING CHECK LIST Zoning District: I L <br /> Fire Department: Post Office: School District: �Yvl/J <br /> Lot Area: Sq.ft. 2-1,-1 S 5 -4"L Acres .4'1 Width i--I"1•i-3 Depth Z-5'7-0'5 Ave- <br /> Survey Submitted: Yes No Date of Survey: `r- (2- <br /> Proposed <br /> ZProposed Setbacks: <br /> Front(-bake): N i Right Side: .3a - �=^1 <br /> Rear (Street): 9L) Left Side: -.o, .t <br /> Adjacent Structures: L Wetland: <br /> IL <br /> uilding Height: Def. Hgt. Peak Hgt. <br /> ot Coverage: <br /> rading: Staff Approval Date: By: Council Approval Date: <br /> eptic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <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 /> 10 <br />