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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: �l 430 2 U ss�'�� A v C-. <br /> PID: <br /> DESCRIPTION OF WORK: i0�7' �•4fL/4�L- 2 3�t s� T -� A�3 � c.'X�sr�u� <br /> -------------- ----- ------ ------___-----------------------'--------� P <br /> ZONING REVIEW BY: DATE APPROVED: �!•Z.5 -63 <br /> BUII�DING REVIEW BY: DATE APPROVED: �{- z5-o,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No <br /> pLAN REVIEW Yes r/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAG Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIl�IG CHECK LIST Zoning Districr. R Q-� 3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. '"1�3�•1 S.Acres 1•�2.1 Width Depth <br /> Survey Submitted: Yes� No Date of Survey: . <br /> Proposed Setbacks; <br /> Front(bake�;: SS � Right Side: � 1°I � <br /> Rear(�se�t): '�`i6� Left Side: �= `'�5� <br /> Adjacent Structures: I O ' Wetland: /�//�- <br /> Building Height: Def. Hgt. U•1L Peak Hgt. 0 .)L <br /> Lot Coveraae: — <br /> Grading: Staff Approval Date: By: — Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # oZ-at3e�{ Resolution: # Resolution Date: +�3-Z`'f-0.3 . . <br /> Shoreland District: 4J a <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Exis[in; PIOpOsed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> „ <br /> 500-1000, . <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S (in house): <br /> 7 <br />