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_ � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z t 9`1 Sta P.���w oo v� 2oA� <br /> PID: <br /> DESCRIPTION OF WORK: I�-�c� ��.nh��e. <br /> -----------_ ---------------------------------------------------------------------�----_—�--------- <br /> ZONING REVIEW BY: � DATE APPROVED• � c oZ <br /> BUII�DIl�TG REVIEW BY: DATE APPROVED: 7-� -�2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,,/' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION � <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3<<�-�9 Acres . �`( Width 1 O(.•S' /}.�p Depth 3`1`(•S �q,.�„p <br /> Survey Submitted: Yes • No_Q� Date of Survey: <br /> Proposed Setbacks: �us�aS �,,s��fl�J <br /> Front(L-�ce): ��S � "� Right Side: �°► 'i <br /> + <br /> Rear(St�eet): S3 Left Side: Z� = <br /> Adjacent Structures: C.L' Wetland: N �/a <br /> Building Height: Def. Hgt. b•�� Peak Hgt. <br /> Lot Coverage: � 7°?fl <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # —" Resolution: # Resolution Date: <br /> Shoreland District: .�-�S <br /> Avg. Setback: /��/1 Bluff Setback: ��✓� L.ot Coverage: ��� <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' Q rC <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�L Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />