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' � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (,p S p A R�c. t.�.N i. . <br /> PID: <br /> DESCRIPTION OF WORK: ��w�,o,rx,z <br /> ZONING REVIEW BY: DATE APPROVED: Z-z�-o y <br /> BUII..DING REV�W BY: DATEAPPROVED; �_,�_oY <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes �/' No SEWER COTfNECTTON <br /> STATE SURCHARGE Yes� No WATgtCOTfNECTTON <br /> IIWFSTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI�CB LIST zoning nisaicc: �uo c��//�e <br /> Fire Department: Post Office; School District: • <br /> Lot Area: Sq.ft. Acres � idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(I.ake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. peal; gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: �' Council Approval Date: <br /> �-- <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 /> Hazdcover: 0-75' <br /> 75-250' <br /> Zsasoo� <br /> soo-i000� <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMAR��S(in house): <br /> 7 <br />