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. _ <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 2��5 2 A��v e ti (l.d w►,D <br /> PID: <br /> DESCRIPTION OF WORK: ni E�,J (?�� <br /> ZONING REVIEW BY: DATE APPROVED: . /-i�'•a° <br /> BUII..DING REVIEW BY: DATE APPROVED: )- � � -�o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �' No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <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: RR-t 3 <br /> Fire Depaztment: (�oN6 (J��ue Post Office: (.c�Ne lh��- School District: n�ZON o <br /> Lot Area: Sq.ft. �,/� c��� c�Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: / - Z�- �� <br /> Proposed Setbacks: <br /> , <br /> Front(L�sj: ��a Right Side: (��1 <br /> Reaz(�reet): �o Left Side: I ti��� <br /> Adjacent Structures: ►> �''° P°�4 Wetland: �� <br /> � <br /> B�ilding Height: Def. Hgt. �•k- Peak Hgt. O• (� <br /> Ldt Coverage: N �l� <br /> Grading: Staff Approval Date: I - 1� -C�c� By: �� Council Approval Date: N�/�1 <br /> Septic: Staff Approval Date: J-I�3 -O c� By: t .P. <br /> Zoning File: # — Resolution: �t " Resolution Date: <br /> Shoreland District: �v o <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Varia�nce Required: Yes No Date of Council Approval: <br /> RFMARKS(in hous�): <br /> 27 <br />