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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE U E ONLY <br /> ADDRESS OR LEGAL: 2(SG L}68/N�j�y <br /> PID: <br /> DESCRIPTION OF WORK: �,u o tj��.�� <br /> ZONING REVIEW BY.• 1 Y� DATEAPPROVED� � Q '� <br /> B UILDING RE i�IEW BY.• DATEAPPROT�ED: 2-�—o g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ����� ��� <br /> PERMIT Yes i/ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No u�ATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> NumbeT�of SAC Units OTHER (spec�) <br /> ZONING CHECK LIST Zoning District.� '� �J � y~� ~ � �� ~ � � <br /> Fire Department: Post�ce: School District: <br /> Lot Ai�ea: Sq ft. Acres N�idth Depth <br /> Survev Submitted: Yes � 1Vo Date ofSurvey: S ld Q 7 /'�.lJ 7/�(J� <br /> Proposed Setbacks: <br /> Front�b�ke�): /X7 C -�2ight Side: _Q� <br /> . s�,�.�h <br /> Rear(S�reet): ��0 rbe�t-Side: /� C�A�( <br /> Z �N WK� <br /> Adjacent Structures: �'j/a- Wetland: /S�� $w�'i <br /> ' 'J , 1`' lS <br /> Building Height: Def.Hgt. Q/V _ Peak Hgt. _ �h L;S�.(�� <br /> Lot Coverage: �/� <br /> Gradin Sta A roval Date: e` �' <br /> g .f.f PP �2- f -��d By: � � Counci!Appi-oval Date: <br /> Septic: StaffApproval Date. g1': <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District � ��''t 9 �'l� �'��MCWD Permit: <br /> Avg. Selback: � /-�- B1uffSetback: /►,ta LotCove��age: /�/�. <br /> Exist� Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250��� t9.0 <br /> 500-1000' <br /> Ha�•dcover i�ariance Required. 3'es No� Date of Council Approval: <br /> REMARKS(in house): J�O �i-o��� �.�r� ��S arwcc�eal f h��-- <br /> Prc� w�l/ I�(,vt�rh !h C'�+f�//Lk c� <br /> 33 <br />