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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /i So CAr rPfe. !3 do <br /> PID: <br /> DESCRIPTION OF WORK: Poo( <br /> ZONING REVIEW BY: _ DATE APPROVED: S-to-0 o <br /> BUILDING REVIEW BY: 4 <br /> 6 DATE APPROVED: r-100:00 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes βœ“ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes v 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: IAβ€’ t/3 <br /> Fire Department: bp, (4 te.0 Post Office: Cao, &S ' School District: OhJesovo <br /> Lot Area: Sq.ft. No Clfseo,C Acres Width Depth <br /> Survey Submitted: Yes do No Date of Survey: m-., Ft 64 2.MI- tb'f <br /> Proposed Setbacks: <br /> Front(baiee): 2.,0 I k Right Side: (- <br /> Rear(Sheet): (q4' Left Side: 2...)e <br /> Adjacent Structures: 13 ' Wetland: β€” <br /> Building Height: Def. Hgt. β€”" Peak Hgt. <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 /> Shoreland District: <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 /> L-- <br /> REMARKS(in house): <br /> 7 <br />