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. ' i <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z� 3.`:� 5�-4�'�Oc-���:-�'� ��� <br /> PID: <br /> DESCRIP'rION OF WORK: �._ e�.{� <br /> ---------------------------------------- -------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: " ' ���,,` DATE APPROVED: � -t c�-�;� <br /> BUILDING REVIEW BY: � -' b ��.,_ DATE APPROVED: -�-t� -�t 7 <br /> , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c,/' No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTTON <br /> STATE SUR`I�ARGE Yes �� No WATERCONNECTION <br /> INVESTIGAT'ION FEE Yes No r/' PARK FEE <br /> SAC Y�s No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LI5T Zoning District: <br /> �,����� <br /> ;�'" Fire Department: Post O�ce: School District: <br /> ��. . <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: (�; i�(..� <br /> Proposed Setbacks: <br /> Front (�ake): _ �2-7 � �= Right Side: �v� {' <br /> 1 � <br /> Rear (Strectj: i`�7 � Left Side: 3� -�' <br /> Adjacent Structures: ,��l�q�kc::�') Wetland: �U /�. <br /> Building Height: Def. Hgt. 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 DisLict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />