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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��S S S H��Jy W c�c�� 20►4✓J <br /> PID: <br /> DESCRIPTION OF WORK: �1�,�J <br /> ZO'�TIl�TG REV�W BY: DATE APPROVED: 3•I'7- �t� <br /> BUILDING REVIEW BY: DATE APPROVED; 3 - 17-�i`1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes c/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: C,(L- t�— <br /> �0 Fire Department: Post Office: School District: <br /> G� t Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes c No Date of Survey: pnJ F�c.�. (u• 5 •�' <br /> Proposed Setbacks: <br /> Front(F�eke}: 115 � � Right Side: l0 � "� <br /> Rear(Scr�et): b 5� i= Left Side: '2 O� } <br /> Adjacent Structures: ]OO` +' Wetland: 3�` <br /> Building Height: Def. Hgt. 0• �- Peak Hgt. " <br /> Lot Coverage: c9• }�. <br /> Grading: Staff Approval Date: /v / /; By: — Council Approval Date: — <br /> Septic: Staff Approval Date: /✓ //.� By: — <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland Disuict: <br /> Avg. Setbac : N/�} Bluff Setback: N//� Lot Coverage: �J (/-� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' I 9•t '�7� � 8•Y o <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />