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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t'3� s��o ft��� ip2�`s-e <br /> PID: <br /> DESCRIPTION OF WORK: N E w (2�5. <br /> ZONING REVIEW BY: DATE APPROVED: �' •Z`t • S 8 <br /> BUII,DING REVIEW BY: DATE APPROVED: �t =Z� - S fD <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR`I-�ARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: RQ- �E3 <br /> Cx�N cx�c..E <br /> Fire Department: Post Office: �a�,-,k;h School District: c��-orv� <br /> Lot Area: Sq.ft. t°l,�-1 2.S Acres � �f`{.� Width /S� Depth /2.ci•5 <br /> Survey Submitted: Yes� No Date of Survey: "]-21-g$ <br /> Proposed Setbacks: <br /> Front (�: _ �Z-' Right Side: �5' I ' ` <br /> Rear (�): '3�� Left Side: ��r <br /> Adjacent Structures: N (� Wetland: 57,� � <br /> Building Height: Def. Hgt. Zb� �= Peak Hgt. Z9 � '= <br /> Lot Coverage: IS°�� <br /> Grading: Staff Approval Date: 9 -ZZ'�`8 By: � Council Approval Date: N�/4- <br /> Septic: Staff Approval Date: OU�1�t- By: -' <br /> Zoning File: # 'Z3�2 Resolution: # Resolution Date: <br /> Shoreland Dist ict: V'P5 <br /> Avg. Setback Nll� B1uffSetback: N �� LotCoverage: �5�0 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 3 S o <br /> Hardcover Variance Required: Yes No C Date of Council Approval: <br /> REMARKS(in house): <br /> � 26 <br />