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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 26�,� sµ,�.��, wo 0•4 �� <br /> PID: <br /> DESCRIPTION OF WORK: (>,,:c_tc.s <br /> �,, . . . <br /> ZOYING REVIEW BY: DATE APPROVED: 7-q► - o-2 <br /> BUILDING REV�W BY: DATE APPROVED; -�. � - o-L. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ./� No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECITON <br /> STATE SURCHARGE Yes c/ No WA'TFR CONNECTION <br /> INVESTIGATION FEE Yes I�Io ✓' PARK FEE <br /> SAC Yes I�10 T�� SIT'EINSPECTION <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. �(ZY O�b Acres . 91. Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: � /g 'a Z <br /> Proposed Setbacks: � <br /> Front(�tee): $2� Right Side: ,3�$� <br /> Reaz(S�reet): b� Left Side: /`3� ,, <br /> Adjacent Structures: A�17"�lrv� Wetland: N�� <br /> Building Height: Def. Hgt. � Peak Hgt. � <br /> Lot Coverage: c}K <br /> Grading: Staff Approval Date: -" By: Council Approval Date: <br /> Septic: Staff Approval Date: " By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: v 1 S <br /> Avg. Setback: nr�A Bluff Setback: N ti4 LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' Za a <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />