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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: 2.40 N OR1-tA6A1t ilwbn <br /> PID: <br /> DESCRIPTION OF WORK: G A(2A&—L-, F i r4 St-t <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: WA A DATE APPROVED: <br /> BUILDING REVIEW BY: ---------DATE APPROVED: -7 <br /> ---------------------------------------------- ------- , --- ------------------------------------------- <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitt Yes No Date of ury y: <br /> Proposed Setba ks <br /> Front Lak ): Right Side: <br /> Rear ( treet) Left Side: <br /> Adjac t Struc res: etland: <br /> Building Heigh Def. H ak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Dat By: Council Approv Date: <br /> Septic: Staff A proval Date: By: <br /> Zoning File: # Res ution: # esolution Date: <br /> Shoreland Dist ict: <br /> Avg. etback: Bluff Setb ck: <br /> Existing Proposed <br /> Hard over: 0-75' <br /> \j <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 />