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CHECK OF�' LIST FOR ISSUANCE OF PERi1�i�TS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ t(�`�n �t-1��py cu n�p (2�r�r� . <br /> PID: <br /> DES CRIPT'ION OF WORK: _ (�E v�S . <br /> ZONING REYIE'�� BY: ~ � DA'I'E APPROVED: t v •30•�53 <br /> BUILDl�i IG REVLEti� BY• � DATE APPROVED: to-• 3a•�4�3 <br /> �EES TO BE CHARGED: � - � Misc. Fees Calculated By: N � <br /> PERMIT Yes �/' No ' <br /> PLAN REV�W Yes �^ No SEWER COYNEC'TiON <br /> STATE SUR`H1�RG� Yes �� No �ATER CO�NECITON <br /> INYESTIGAZ'ION-FEE Yes No PAI�K FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ZONII�'G CHECK LIST zoning Districc: L2- (�---r--�---------------- ��-- � -�_ <br /> Fire Department: ry�o�,,�� Post OfFce: �y�V7�y� School District: c„��5�N�q <br /> Lot Area: Sq.ft. �S,�t�� Acres . 3S tiVidth 6 J•Z( Depch Z K 3•y Ykc12 <br /> Survey Submitted: Yes�C_ No Date of Survey: 5 PpT Z3, 1��� <br /> Proposed Setbacks: <br /> Front (La.�Ce): , S(�` Right Side: 3r <br /> � � � <br /> Rear (Street): _ �Oc� '� Left Side; <br /> . Adjacent Struccures: _ /{-7-i-yqc t4c� tiVetland: /l/ 1�4- <br /> Building Height: Def. Hgt• --- Peak H�t. — J <br /> a <br /> Lot Coverage: l°t•y <br /> GradinJ: Staff Approval Date: --- By: — Council Approval Date: — <br /> Septic: Staff Approval Date: — gy; ..--� . <br /> Zonino File: #_ z.�f 33 Resolution: # Resolution Date:� • <br /> Shoreland Dis�ict: �j�s � <br /> Avg. Setback: �o� �,A,��� Bluff Setback: Al �/� Lot CoveraQe; l°(�`{ <br /> ' Existing Proposed <br /> Hazdcover: 0-75' �,�70 <br /> 75-250' . _���a . . <br /> 250-5Q0' . . <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes�_ No Date of Council Approval: <br /> . � <br /> REI�ZARKS ('in house): <br /> � - . - . <br /> . "i � 26 <br /> . �t� . . <br />